| NPI | 1457825846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EVANS VP 610-382-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-06-26 |