| NPI | 1285867762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH AGERSBORG Owner 215-280-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA OS010570L) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-07-16 |