| NPI | 1790226595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINTOMI OLUGBODI Owner 610-568-5078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD446378) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |