| NPI | 1881193860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CAGAN Vice President 215-379-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |