NPI | 1518092477 |
---|---|
Doing Business As | MORRELL PARK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | RONALD KUMOR CEO Aps 215-612-4858 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-02-22 |
Last Update Date | 2022-10-12 |