| NPI | 1285783597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATILDE RODRIGUEZ-SOTOMAYOR Owner 610-898-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA MD032776E) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-10-17 |