| NPI | 1780155689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DEMJAN Enrollment Liaison 484-884-0684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-08-18 |