| NPI | 1164694485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD M WOLF President 610-743-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA os012325) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2011-03-11 |