| NPI | 1093761405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN E. DORN Office Manager 215-997-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD041215-E) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-01-21 |