| NPI | 1174847545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOHNSON Owner 610-432-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 22191501) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-05-12 |