| NPI | 1073677118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG Y SLOCUM Treasurer 610-539-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |