| NPI | 1568469328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS BUNDY Medical Director 610-373-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 16691501) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-07-27 |