| NPI | 1619922580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL BRANTZ President 215-535-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA os003987L) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-02-12 |