| NPI | 1588899421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA STARK Billing Manager 610-594-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD037167L) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |