| NPI | 1972141455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HOHLFELD VP Of Payer Contracting 215-589-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-04-20 |