| NPI | 1073491916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BLACK Director Managed Care 610-442-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |