| NPI | 1255943809 |
|---|---|
| Doing Business As | GPHA - JULES E. MASTBAUM HEALTH SUITE |
| Entity Type | Organization |
| Authorized Contact | CELESTE JOHNS Director Of Reimbursement 215-925-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |