| NPI | 1811715436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Enrollment Manager 484-569-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |