NPI | 1891091419 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER CHRISTIE Owner 610-565-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PA OS005633L) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |