| NPI | 1205940350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT LORRAINE President 215-256-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |