| NPI | 1134241946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MOUNTZ Billing Coordinator 610-288-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 17171501) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-01-22 |