| NPI | 1467969907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE A. B. TOTOE Direct Owner 215-876-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53842) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-03-14 |