| NPI | 1366499410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CONRAD BOGNET President 610-821-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS 009228L) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-04-22 |