| NPI | 1124334099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA I BOLHOVITINOVA Director 215-322-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA AK000721) |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2010-08-29 |