| NPI | 1538109707 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELENA ANNOPOLSKY Medical Doctor 215-698-1995  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD067857L)  | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2020-08-22 |