| NPI | 1568118073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPAK PATEL Owner/Authorized Official 610-858-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-05-16 |