| NPI | 1356341770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA B BURRIS Clinical Director 610-376-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD041246E) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-08-22 |