| NPI | 1588896211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M MORALES MITTI Medical Case Manager 215-851-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |