| NPI | 1194244038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MEISINGER Chief Clinical & Operations Officer 215-600-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD068622L) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-08-19 |