| NPI | 1508000308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA BAILEY CFO 215-351-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |