| NPI | 1316352164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIRD Manager 610-334-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |