| NPI | 1134364037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HERNANDEZ Owner 610-288-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |