| NPI | 1558087056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PODGORSKI Owner 215-779-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-02-14 |