NPI | 1134365620 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT M BERGMAN Physician 215-637-0102 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD012582E) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2009-10-14 |