| NPI | 1295368306 |
|---|---|
| Former Legal Business Name | PHILADELPHIA ACUPUNCTURE LLC |
| Entity Type | Organization |
| Authorized Contact | STEVEN MAVROS President 215-627-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |