| NPI | 1730580895 |
|---|---|
| Doing Business As | LVPG SPORTS MEDICINE-ONE CITY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN BERZINSKY Sr VP 484-884-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-08-14 |