| NPI | 1386674463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-10-22 |