| NPI | 1609012657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDERICK MCGUCKIN CEO/Medical Director 215-382-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: LA MD.202013) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-08-11 |