| NPI | 1467691014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JOURNEY Billing Specialist 610-866-5008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15601501) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-07-08 |