NPI | 1376161117 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG A MILLER Authorized Official 610-644-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-07-11 |