| NPI | 1083628820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WARREN COHEN President 215-947-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD026348E) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |