| NPI | 1053174300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Enrollment Manager 484-569-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |