| NPI | 1558448837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN TENAGLIA Administrator 215-918-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 14811501) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 1481150101) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-09-26 |