| NPI | 1164724159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W GOPPOLD President 215-357-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD018778E) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |