| NPI | 1063156701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Manager 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |