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