| NPI | 1265527378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE D HARRIS Credentialing COO Rdinator 215-567-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |