NPI | 1386769545 |
---|---|
Other Name | GAUDENZIA WESTSHORE OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 211144) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2022-03-10 |