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 |