| NPI | 1457883936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD E DWORKIN Medical Director 610-996-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA OS004891L) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |