| NPI | 1033234133 |
|---|---|
| Doing Business As | BROOKSIDE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHANA M ENOCHS Credentialing Specialist 610-327-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD027759E) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-07-14 |