| NPI | 1639565138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR GHANTOUS Authorizing Official 215-657-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: PA SP014624) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |