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 |