| NPI | 1083004998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN AURTHOR BROWN Director 215-431-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DS023270L) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |