| NPI | 1851349302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI RAVITSKY Executive Director 610-954-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-10-16 |