| NPI | 1235116344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA NICOLE HARRIS Credentialing Manager 215-657-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD027056E) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-04-03 |