| NPI | 1508400920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA LOPEZ Administrator 610-756-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-10-02 |