| NPI | 1154078202 |
|---|---|
| Doing Business As | REVAMP |
| Entity Type | Organization |
| Authorized Contact | JON C GEORGE Owner 215-575-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |