| NPI | 1154873594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG ARTHUR MILLER Authorized Official 610-644-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2023-07-12 |