| NPI | 1932373164 |
|---|---|
| Other Name | NEUROLOGY- HEADACHE |
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS VP Of Contracting 215-955-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-10-14 |