| NPI | 1164663050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIRD RAYMOND MAMENISKIS CEO 215-732-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD041644E) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |