| NPI | 1538355888 |
|---|---|
| Doing Business As | DEKALB FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PETER B KENNIFF CFO 610-292-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-05-14 |