NPI | 1124379953 |
---|---|
Doing Business As | LVPG FAMILY MEDICINE - MACUNGIE |
Entity Type | Organization |
Authorized Contact | JAMES DEMOPOULOS VP/Cto 484-862-3333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-09-19 |
Last Update Date | 2023-12-15 |