| NPI | 1902066558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STOLL President 215-348-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |