| NPI | 1649233719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE CARRULLO Administrator 610-664-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 06181500) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-09-06 |