| NPI | 1609314186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CHARLOTTE TESTAIUTI Physician Assistant 610-715-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA001192L) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |