NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1275852782 |   |   |   | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD | 2004 SPROUL RD | BROOMALL | PA | 190083511 |
1770711376 | MITCHELL | ZACHARY | T |   | 2004 SPROUL RD | BROOMALL | PA | 190083511 |
1124132212 | O'GARA | JENNIFER | LEE |   | 2004 SPROUL RD | BROOMALL | PA | 190083511 |