| NPI | 1972125920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA E VALLADARES Medical Assistant /Phleboto MIS T 215-251-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246R00000X Technician, Pathology |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |