| NPI | 1518355627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 208000000X Pediatrics | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2020-11-19 |