| NPI | 1508360181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLAZE Authorized Official 610-644-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-04-21 |