| NPI | 1518631241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FORD Director/Authorized Official 484-643-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |