| NPI | 1811945538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PAGE Program COO Rdinator 215-427-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD021329E) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-12-20 |