| NPI | 1245306489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MILLER Medical Director 215-462-6600 |
| Organization Subpart ? | |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |