| NPI | 1285225516 |
|---|---|
| Doing Business As | ENTELMED |
| Entity Type | Organization |
| Authorized Contact | BRYAN D BURKLOW CEO 484-985-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |