| NPI | 1275709396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX B BODENSTAB Medical Director 610-261-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: PA MD037186E) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |