| NPI | 1295056562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ELLIOTT Physician 610-355-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: PA OS009816L) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |