| NPI | 1720425929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L RICCA Manager 215-651-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD422681) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD422681) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD442471) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |