| NPI | 1518060631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIEM NGUYEN Owner 215-612-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA md068281L) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-04-18 |