| NPI | 1962442897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GOODE Medical Director 610-378-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-09 |