| NPI | 1477006849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BREWER Precertification Representative 215-728-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: PA 231352156) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |