| NPI | 1336792316 |
|---|---|
| Other Name | WEDGE MEDICAL CENTER, PC |
| Entity Type | Organization |
| Authorized Contact | TAKISA GALLMAN VP Administrative Services 215-276-3922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2021-01-12 |