| NPI | 1265950802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA MILICI Medical Director 215-389-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 115913) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |