NPI | 1508056904 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA A LUSSER Physician 610-432-4114 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD017474E) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2007-07-31 |