| NPI | 1073640645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M DAVIES Office Manager 610-910-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012424) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-10-03 |