| NPI | 1649926098 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | LEKHA G PHILIP Owner 215-796-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |