| NPI | 1336286996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHORE Physician 215-663-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA os-007633-l) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |