| NPI | 1407193972 |
|---|---|
| Other Name | GAUDENZIA BERWICK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COYLE Dir. Fiscal & Accounting Operation 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 197056) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |