| NPI | 1588315865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MULHOLLAND Owner 215-806-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-07-08 |