| NPI | 1134470602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL ARTAMONOV President/Md 610-438-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD424898) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: PA MD424898) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-10-23 |