| NPI | 1629891676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JACKSON CEO 610-505-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-17 |