NPI | 1679699052 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN W MCCULLOUGH President 215-946-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: PA DC2206P) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-04-20 |