| NPI | 1609117795 |
|---|---|
| Doing Business As | STREET ROAD MEDICAL ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | LARRY S HAHN President 215-464-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |