| NPI | 1417944778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONNOLLY CFO & SVP Of Administration 857-282-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-07-13 |