| NPI | 1164490728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J ERTEL Administrative Director 484-628-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 16481501) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-04-20 |