| NPI | 1811535982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Supervisor 484-526-3569 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |