| NPI | 1205698743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Enrollment Manager 484-569-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |