| NPI | 1609187905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH VULLINGS Office Manager 610-927-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2012-05-04 |