| NPI | 1558889956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIS Administrator 484-530-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-01-26 |