| NPI | 1417772617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PATRICK HAUG Owner/CEO 610-612-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |