| NPI | 1740434364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J RICHARDS Billing Administrator 215-547-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD038006E) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2009-10-14 |