| NPI | 1689312241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L SILL Credentialing Specialist 484-351-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-12-08 |