| NPI | 1376717538 |
|---|---|
| Other Name | FAMILY MEDICINE - SENIOR CENTER |
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS VP Of Provider Operations 215-955-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2020-12-13 |