NPI | 1194308809 |
---|---|
Entity Type | Organization |
Authorized Contact | AIDEN YUZHE FENG Owner/President 484-744-2177 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-04-30 |
Last Update Date | 2024-09-24 |