| NPI | 1720094485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CLINTON DOKLAN Owner 610-774-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA DC007371L) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |