| NPI | 1346638970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GODLEY Owner 215-805-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI 14526) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |