| 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 |