| NPI | 1477863348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VITO Office Manager 215-947-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD034690L) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-11-29 |