| NPI | 1164967543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EVANS VP 610-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2020-04-24 |