| NPI | 1134386949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE FERGUSON Office Manager 215-463-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS008476L) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |