| NPI | 1639148448 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | BRUCE WILLIAMS President /Owner 215-236-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA OS005361L) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-09-18 |