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 |