| NPI | 1477634871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY A LINDENBAUM President/Owner 267-503-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-003465-L) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-02-17 |