| NPI | 1447311576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL TERENCE DRAIN President Owner 215-227-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD039729L) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-07-11 |