| NPI | 1164419842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS S NOWINSKI Medical Director 215-412-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15231501) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-02-28 |