| NPI | 1679698807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HARRISON FORTENBAUGH President 610-526-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PA 849466) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |