| NPI | 1437594272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA B MCLEAN Owner 610-896-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA MD057719L) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-18 |