| NPI | 1598012429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FRYE CFO 484-351-8459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 204R00000X Electrodiagnostic Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2026-06-26 |