| NPI | 1245433622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA G MANGES Billing Credentialling Coordinator 215-340-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA os007938l) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |