| NPI | 1124207865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE N SCARDUZIO Billing Manager 484-452-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: PA MD0489261) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-12-06 |