| NPI | 1275707671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T WATKINS Owner/Physician 215-545-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006195-L) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |