| NPI | 1689869372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER RICHARD KOLLROS Owner 215-886-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD041495E) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |