| NPI | 1235630500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J ALEXANDER CEO And Administrative Director 215-294-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |