| NPI | 1104989078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CILETTI Practice Manager 610-869-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA OS004477L) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-02-15 |