| NPI | 1053355131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Supervisor 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-06-13 |