NPI | 1295482123 |
---|---|
Doing Business As | ST. LUKE'S NAZARETH ROAD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SUE CHIAVAROLI Enrollment Manager 484-526-3569 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |