| NPI | 1710200928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH AGERSBORG President/Owner 215-248-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA OS010570L) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |