| NPI | 1003353046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DURANDA PETTIGREW Manager, Education & Business Op. 215-762-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-31 |