| NPI | 1164684601 |
|---|---|
| Other Name | BROAD AND GRANGE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD FISHER Medical Doctor 215-843-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD061558L) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |