| NPI | 1629795554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET GEORGE PARAPPURATH Owner/Provider 215-494-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2025-06-07 |