NPI | 1134159312 |
---|---|
Doing Business As | RED LION FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LOUIS DANIEL PETRELLIS President Physician 215-673-2522 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 0S006198L) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-08-22 |