| NPI | 1831666585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J PEZZELLO Co Founder 215-508-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-10-04 |