| NPI | 1760843205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SIEGEL Owner/President 610-392-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA CW012197) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |