| NPI | 1801390307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET CECILIA CREECH Assistant Administrator 215-741-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |