| NPI | 1114268448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E FISHER Owner 215-843-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |