| NPI | 1912561291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B PRINCE Principal Physician 215-396-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |