NPI | 1639123219 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M FLANEGIN President 610-831-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L04659) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2007-08-31 |