| NPI | 1093771420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID SMITH Physician/President 215-262-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS005896L) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-03-25 |