| NPI | 1538372149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHIELDS Practice Manager 610-449-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-11-07 |