| NPI | 1215282165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARO GARIBIAN Chief 215-722-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011887) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |