NPI | 1225447592 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA KAY JOHNSON CFO 215-644-8745 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2014-08-11 |
Last Update Date | 2024-03-19 |