| NPI | 1992940944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASAVI K REDDY Resident Physician 610-703-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 125053716) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |