| NPI | 1235611179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA WOODARD Director Revenue Cycle 215-707-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine |
| 2083T0002X Preventive Medicine Medical Toxicology | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-05-29 |