| NPI | 1053971960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA ELENA MCDONALD Medical Director 215-392-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-01-30 |