| NPI | 1366533192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON C MANIN Owner 215-947-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: PA MD049587L) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |