| NPI | 1477369734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFRED E MENSAH Director 215-836-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-17 |