| NPI | 1407169675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA PATHALAPATI Owner 215-860-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-11-22 |