| NPI | 1396327052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISH P SHAH CEO 215-828-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |