| NPI | 1518732551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENIA PAULINO Owner 215-205-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-02-02 |