NPI | 1083861264 |
---|---|
Entity Type | Organization |
Authorized Contact | ILYA AVERBUCH President / CEO 215-953-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD032400E) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA04914900) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2008-08-19 |