| NPI | 1609010297 |
|---|---|
| Doing Business As | LVPG MATLV |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CALLAHAN Associate Executive Director Of Fin 610-798-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2010-10-19 |