| NPI | 1407898828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT R PATEL Owner/ Physician 215-785-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD037709L) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |