| NPI | 1104058650 |
|---|---|
| Doing Business As | GPHA OB/GYN SERVICES |
| Entity Type | Organization |
| Authorized Contact | D TINA SMITH Provider Enrollment Spec. 215-925-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2017-04-03 |