| NPI | 1619145141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W TERENCE REILLY General Partner 610-866-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15601501) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |