| NPI | 1174545875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONNOLLY CFO, SVP Of Admin & Treasurer 857-282-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 59897) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 59966) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 24941) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 43554) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 75595) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-09-20 |