| NPI | 1578645123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THRIVENI RAMKUMAR VELLORE President 610-882-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD420822) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |