| NPI | 1235229923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ROSA VP Payor Contracting 484-628-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-05-09 |