| NPI | 1114809837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDHBH GALLAGHER Medical Director 215-206-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |