NPI | 1386813871 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMIE BUCKWALTER Billing Clerk 215-659-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD25525L) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |