| NPI | 1083039200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Manager 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207T00000X Neurological Surgery | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2086S0129X Surgery Vascular Surgery | |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2024-06-13 |