| NPI | 1447607536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BOTWIN MULCAHY Physician 484-821-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: PA OS009647L) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |