NPI | 1568579266 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-11-19 |