| NPI | 1235171604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSE B PETERMAN Owner 610-327-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS004830L) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-06-13 |