| NPI | 1124267240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MARIE SIMS-BEST Nurse Practitioner 215-746-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA SP009456) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |