| NPI | 1164747184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANISLAV GOYKHMAN Medical Director 610-360-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2017-10-10 |