| NPI | 1649300393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A HYATT Pres 215-646-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD023298E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS008558L) |
| 207R00000X Internal Medicine (Licence: PA SP009090) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |