| NPI | 1336439645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J ELLIS President 610-382-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 50421501) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-04-03 |