| NPI | 1942524772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA L SORIANO President 215-630-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A 38854) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2017-03-10 |