| NPI | 1356040497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDALAN FASSIH Chairman 610-608-0959 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |