NPI | 1639787740 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER SEACE Credentialing 610-594-7590 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |