| NPI | 1356659379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS Executive Directory 215-955-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-12-13 |