| NPI | 1316580632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MEISINGER Chief Clinical & Operations Officer 215-600-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |