| NPI | 1518481225 |
|---|---|
| Doing Business As | MMSEPA P PCP MAC OP MHOP |
| Entity Type | Organization |
| Authorized Contact | AMIEE BRENNAN Credentialing Supervisor 610-567-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |