| NPI | 1023724747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA RUBIN Vice President 215-335-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |