| NPI | 1972831337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE S NAM Physician 610-383-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD436926) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-06-14 |