NPI | 1215326335 |
---|---|
Doing Business As | PRIMARY CARE SERVICES AT AZALEA TRACE |
Entity Type | Organization |
Authorized Contact | SUSAN AHERN SVP, CFO 215-661-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2015-01-13 |
Last Update Date | 2024-02-20 |