| NPI | 1568656155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOFE P EVANGELISTA Physician 215-321-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD034070E) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MD030470E) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2010-04-20 |