| NPI | 1396254710 |
|---|---|
| Doing Business As | PHILADELPHIA UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SONSERAY NEUFELD Credentialing Specialist 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |