| NPI | 1013753227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE N SALANECK Owner 610-871-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-01-23 |