| NPI | 1548214182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY A EVERHAM Office Manager 215-338-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD045589L) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-12-15 |