| NPI | 1134195688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT O DETWEILER President 215-868-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-05-13 |