| NPI | 1518174630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA PENA-RICARDO Pediatric Resident 215-456-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT 188183) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-05-29 |