| NPI | 1386729705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVEN BLAKE CEO 215-849-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS007404E) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-06-27 |