NPI | 1740525583 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO A. SPOTO Doctor 610-269-7662 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA DC001967L) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2012-12-05 |