| NPI | 1396186201 |
|---|---|
| Doing Business As | 11400 BUSTLETON AVENUE |
| Entity Type | Organization |
| Authorized Contact | OLEG ANTONOV Owner 215-111-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |