| NPI | 1952542615 |
|---|---|
| Doing Business As | HAVERFORD WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DOMENICK BRACCIA Medical Director 610-924-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA OS006737L) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: PA OS006737L) |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: PA OS006737L) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: PA OS006737L) | |
| 261QP3300X Clinic/Center, Pain (Licence: PA OS006737L) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-05-13 |