| NPI | 1063572204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEE KEAGLE President 610-534-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS003117L) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |