| NPI | 1265434740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA PRATT Administrator 610-565-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 09421500) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-02-11 |