| NPI | 1114569191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CHIAVAROLI Cvo Supervisor 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2020-12-14 |