| NPI | 1619304888 |
|---|---|
| Doing Business As | LVPG FAMILY MEDICINE - FORKS TOWNSHIP |
| Entity Type | Organization |
| Authorized Contact | JOHN BERZINSKY VP CFO 484-884-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2015-08-19 |