| NPI | 1558617084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE S ROLON Revenue Cycle Manager 610-208-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA055582) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |