NPI | 1225303605 |
---|---|
Doing Business As | BUSTLETON AND VERREE MEDICAL PRACTICE |
Entity Type | Organization |
Authorized Contact | RONALD KUMOR Senior Vice President 215-612-4858 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-03-19 |
Last Update Date | 2022-10-12 |