| NPI | 1275189375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHOS R CERRATO Cmo 484-535-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-12-19 |