| NPI | 1609187665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DONALD HOPPER Principal 215-575-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PA MD421377) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-07-27 |