| NPI | 1619029238 |
|---|---|
| Other Name | TPI HENRY AVENUE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LYNNIE SAVERING Director 2152-926-9015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-02-01 |