| NPI | 1376030585 |
|---|---|
| Doing Business As | WALBERT AVE PRIMARY CARE ST. LUKE'S SACRED HEART |
| Entity Type | Organization |
| Authorized Contact | JOSEPH W MINAHAN President 484-526-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-05-15 |