| NPI | 1508271925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALESKA SANTIAGO President 215-470-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD444903) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |