| NPI | 1598894230 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine | 
| Additional Taxonomies | 207L00000X Anesthesiology | 
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2007-03-05 | 
| Last Update Date | 2014-07-24 |