| NPI | 1710749478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Enrollment Manager 484-569-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |