| NPI | 1760796353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL BINIAURISHVILI Medical Director 215-464-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005791) |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2015-07-29 |