| NPI | 1881687614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE C BALDASSARRE Business Office Manager 484-723-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 1865) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-04-30 |