NPI | 1609898584 |
---|---|
Doing Business As | AZANI MEDICAL SPA |
Entity Type | Organization |
Authorized Contact | MONICA CECILIA GAVIN CEO/Medical Director 610-530-0151 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD061743L) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2010-05-29 |