| NPI | 1326076951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUSAN BOCK Office Manager 610-824-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-11-08 |