| NPI | 1407057748 |
|---|---|
| Doing Business As | SHUSTIK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARJORIE LOUISE SICKLE Manager 610-868-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |