| NPI | 1154088300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R PATRICIA HOWER Credentialing Specialist 215-798-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |