| NPI | 1194718593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MARK DZUBOW President 484-621-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 16731501) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-06-11 |