| NPI | 1245628353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2020-11-19 |