| NPI | 1972153997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LOMBARDO Practice Administrator 610-821-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-10-31 |