| NPI | 1518176916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHN VALENTINO Doctor 610-265-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA OS005197L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-01-23 |