| NPI | 1053559021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA LIANE HARGROVE Secretary 484-995-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA md 430289) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |