| NPI | 1366498115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE HENNIGAR Administrative Director 215-947-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 17161501) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |