NPI | 1245669860 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA DANIELS Office Manager 215-293-9140 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA MD014493E) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2013-11-04 |