| NPI | 1558664730 |
|---|---|
| Doing Business As | LVPG-CRNP-PCP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALLAHAN Assoc Ex Dir Of Finance 610-798-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |