| NPI | 1245813757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL C FORD Senior Manager In Credentialing/Dir 484-643-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2026-06-22 |