| NPI | 1326436437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2020-11-19 |