| NPI | 1205963568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DESILVA CEO 610-527-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 17101501) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-03-26 |