| NPI | 1598276610 |
|---|---|
| Former Legal Business Name | HEALTHPROS MEDICAL CENTER, PA |
| Entity Type | Organization |
| Authorized Contact | TAMIM KHROMACHOU Physician/President 701-200-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |