NPI | 1619711363 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE JOHNSON Director Of Operations 484-769-4369 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2024-06-19 |
Last Update Date | 2024-08-14 |