| NPI | 1639421266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MESSING Revenue Cycle Manager 215-988-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA OS004236L) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA DC005975L) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-07-12 |