| NPI | 1003870742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIF ERIC CHRISTIANSEN Owner 610-370-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS005747L) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |