| NPI | 1528239886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JACOB GEORGE Owner 215-785-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: PA MD071538L) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |