NPI: 1710922901 · UPPER DARBY, PA 19082 · Pediatrics Physician · NPI assigned 06/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $333.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $333.30 |