| NPI | 1497765689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ZIKER Billing Manager 215-348-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-12-02 |