| NPI | 1750694832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MOLDEN Medical Director 215-504-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-08-23 |