| NPI | 1205193703 |
|---|---|
| Other Name | DR MICHAEL PENGELLY AUD |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY PENGELLY Owner 610-216-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PA at00219) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2013-01-03 |