| NPI | 1104167022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KIDWAI M.D. 610-667-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA MD 433668) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: PA MD 433668) |
| 261QH0100X Clinic/Center, Health Services (Licence: PA MD 433668) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: PA MD 433668) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |