| NPI | 1093755605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MATTHEW LAGO Physician/President 610-373-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS-012237) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |