NPI | 1235537028 |
---|---|
Doing Business As | LVPG INTERNAL MEDICINE-WEST BROAD |
Entity Type | Organization |
Authorized Contact | JAMES DEMOPOULOS Sr VP & COO 484-884-4500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2014-12-11 |
Last Update Date | 2022-05-11 |