| NPI | 1073570727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STOVER WIGGINS President 215-348-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD015821E) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-11-15 |