| NPI | 1225495609 |
|---|---|
| Other Name | GAUDENZIA FULTON OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-05-08 |