NPI | 1366456790 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY K. SHERMAN Owner, President 610-437-4577 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA PS-007491L) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-08-22 |