NPI | 1316044225 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN E OWEN Office Manager 215-751-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PA MD420924) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD014096E) |
174400000X Specialist (Licence: PA MD025096E) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-07-13 |