| NPI | 1194151126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SURI Member 484-704-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD443592) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD443592) |
| 261QR1100X Clinic/Center, Research (Licence: PA MD443592) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-03-07 |