| NPI | 1831681550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WOLFE Authorized Official 215-277-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |