| NPI | 1932261278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GAVIN COO 610-338-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 041801) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-01-21 |