| NPI | 1336215227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A CHIAVAROLI Supervisor Enrollments 484-526-3569 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 195501) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2018-06-22 |