| NPI | 1174073563 |
|---|---|
| Doing Business As | REDEEMER RETIREMENT COMMUNITY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL R WAGNER Executive Vice President Finance 215-856-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS005558l) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |