| NPI | 1174988265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G ZITA Owner 215-239-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DC004886L) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |