| NPI | 1548638265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN STOFER President & COO 857-282-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2025-07-17 |