| NPI | 1831139955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN GRISSINGER Executive Director 215-443-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 27171500) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |