| NPI | 1285476432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANZELLA Administrator 215-799-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-11-13 |