| NPI | 1467535773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW T FANELLI Medical Director 215-321-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 39C0001163) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-10-04 |