| NPI | 1902460876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D GROSSINGER Authorized Official 215-789-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2023-01-29 |