| NPI | 1366886913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK MEYERS Medical Director 215-334-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2014-03-13 |