NPI | 1780155689 |
---|---|
Doing Business As | LVPG DEVELOPMENTAL PEDIATRICS |
Doing Business As | LVPG DEVELOPMENTAL PEDIATRICS - WEST END |
Entity Type | Organization |
Authorized Contact | BREANNA SANTIAGO Enrollment 484-884-0661 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2018-12-17 |
Last Update Date | 2023-01-03 |