| NPI | 1932431897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN YOUNG Practice Administrator 610-252-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054230) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-04-28 |