| NPI | 1972994820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS D'AMICO Authorized Official 610-366-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2018-03-20 |