| NPI | 1366041097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH LAWSON Practice Administrator 215-657-2012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-02-23 |