| NPI | 1053827485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA GEORGE Member 215-464-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2020-01-13 |