| NPI | 1194832899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-11-19 |