| NPI | 1841350758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL GOLLOMP President 610-642-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD024887E) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-02-25 |