| NPI | 1396302626 |
|---|---|
| Doing Business As | GERIATRIC AND ADULT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SNEE Account Executive 215-481-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |