| NPI | 1184684573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KLINE Administrator 610-559-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 07411500) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-08-27 |