| NPI | 1487987020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS S LIEBERMAN Member Manager 215-774-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD059659L) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |