| NPI | 1104084391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLY KASONGO C.E.O. 215-971-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2008-05-25 |