| NPI | 1497299085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CAMPLING Credentialing 610-931-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2017-01-11 |