| NPI | 1841550555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR S TIONGSON President 610-626-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA MD036757L) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |