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 |