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 |