| NPI | 1144723677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CALLAHAN Practice Administrator 215-968-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009988L) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |