| NPI | 1366485096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA A DABEZIES Medical Director 215-517-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 10701500) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |