| NPI | 1578731493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DENNIS GREEN Medical Director 215-452-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA md66662L) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2024-08-18 |