| NPI | 1114957297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-10-22 |