| NPI | 1124438551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHN MASCERI Owner 215-750-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD038878E) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |