| NPI | 1841748324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BORJA Owner 610-779-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD057525-L) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |