| NPI | 1033359542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R. DICKERMAN Physician/Owner 610-277-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006150L) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2016-07-08 |