| NPI | 1215257837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIYYA S SHABAZZ Medical Director 215-924-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD428070) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2018-07-27 |