| NPI | 1285185751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG MIN LEE Physician Assistant 215-456-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058420) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |