| NPI | 1558125997 |
|---|---|
| Doing Business As | LVPG FAMILY MEDICINE - VINE STREET |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOULOS SVP 484-862-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |