| NPI | 1477760684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CONROY VP Medical Affairs 215-710-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP003582B) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |