| NPI | 1740478841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M ROTH Billing Representative 610-258-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD038845E) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-11-07 |