| NPI | 1053576835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KINOSIAN Medical Director 215-573-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA MD421701) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |