| NPI | 1225826712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN E ACKERMAN President 215-694-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-05-06 |