| NPI | 1538433040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA CHUBE Physician 215-242-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD MD042503-L) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |