| NPI | 1346002714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTA TEMUJIN REDDY Medical Director 484-560-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |