| NPI | 1902034465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RALIC Officer 215-535-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009718) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-12-16 |