| NPI | 1053428425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA M ENOCHS Credentialing Specialist 610-327-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA md048926L) |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD072338L) | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-07-14 |