| NPI | 1104924463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE D GAY-JENKINS Credentialing Supervisor 610-993-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |