| NPI | 1144417759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THEODORE RUBINO Physician 610-688-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD417836) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD417836) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2010-07-09 |