| NPI | 1215053699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY LAWRENCE GRABIAS Medical Director 610-375-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD012376E) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-08-29 |