| NPI | 1154728673 |
|---|---|
| Doing Business As | FAMILY MEDICINE GERIATRIC AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL B WALSH Senior Vice President Of Finance 215-481-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2016-02-26 |