| NPI | 1336184498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE N HANUSCHAK Md 215-627-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD021132E) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |