| NPI | 1487683272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CAPOZIO Office Manager 215-339-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-10-11 |