| NPI | 1700011905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT LOUIS Chief Administrative Officer 215-427-4826 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-20 |