NPI | 1104026350 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVE R HILL Office Manager 610-783-5158 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: PA MD421472) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |