| NPI | 1265578819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN R CAMPBELL Practice Manager 215-826-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 05008318L) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: PA OS008318L) |
| 207Q00000X Family Medicine (Licence: PA 05010460L) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-08-13 |