| NPI | 1629880760 |
|---|---|
| Former Legal Business Name | PRIVIA MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Enrollment Specialist 610-530-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |