| NPI | 1134610967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TESTA Owner 215-990-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-10-10 |