NPI | 1134439037 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN P KELLY President/Medical Director 215-829-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PA MD047210L) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2023-04-28 |