| NPI | 1396193900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-11-19 |