| NPI | 1720554959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A MALUCCI Owner Of Entity 610-999-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-12-14 |