| NPI | 1124122387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2024-05-21 |