| NPI | 1851716781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEO WELLNER President/Physician 610-442-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: NJ 25MB07771400) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |