| NPI | 1386048197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON GREGORY DE MASI Physician 610-353-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD025728E) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |