| NPI | 1225484090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TERRENCE WERNER Senior Director Of Operations 215-568-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-01-11 |