| NPI | 1336363795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R CASO Physician 610-559-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA OS008624L) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |