| NPI | 1609334762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KRISTOFF Office Manager 215-657-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-06-09 |