| NPI | 1457740797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH BAUA ELURI Part Owner 484-973-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: PA 063094L) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |