| NPI | 1538385547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MATTINGLY Owner/Doctor 215-962-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 0S009360L) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-08-16 |