| NPI | 1679282701 | 
|---|---|
| Doing Business As | DENNIS GEORGE CAULK JR. | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN BELL Medical Billing Associate 215-769-3561  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251B00000X Case Management | 
| Enumeration Date | 2022-11-17 | 
| Last Update Date | 2022-11-17 |