| NPI | 1407543762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JAMES ANDERSON C RN A 215-220-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-03-26 |