| NPI | 1992875454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M HOHLFELD VP, Payer Contracting 215-589-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 1710262) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-04-20 |