| NPI | 1952571028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOKKUMAR SHIVSHANKAR THANKI President 215-752-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 21331501) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2009-04-24 |