| NPI | 1568649929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILIPKUMAR M BERA Physician 610-250-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA MA52459) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-02-15 |