| NPI | 1609887785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E STOVER Executive Director 610-973-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD039406E) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-09-26 |