| NPI | 1023373511 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH JOHNSTON Authorized Official 215-662-7583 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2012-07-10 | 
| Last Update Date | 2012-07-10 |