| NPI | 1881922292 |
|---|---|
| Doing Business As | BODYLOGICMD OF PHILADELPHIA |
| Entity Type | Organization |
| Authorized Contact | KENNETH VARANO Director 877-278-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA OS009028L) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |