| NPI | 1477158020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANTOINETTE FETZER Vice President Strategic Operations 215-327-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-08-10 |