| NPI | 1164511747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS Vice President 215-955-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-10-14 |