| NPI | 1164551305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS J GRINGERI Primary Care Physician 215-860-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 05006262L) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |