| NPI | 1497029599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P COSTELLO President 215-953-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS005840L) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |