| NPI | 1174564579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F AVALLONE Owner 215-332-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |