| NPI | 1295271575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HESS COO 215-206-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: NJ none) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |