NPI | 1649381187 |
---|---|
Doing Business As | VITA MEDICAL ASSOCIATES PC |
Entity Type | Organization |
Authorized Contact | JENNIFER MASENHEIIMER Practice Administrator 610-866-0113 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD041008L) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD040218L) |
363L00000X Nurse Practitioner (Licence: PA SP008429) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-01-13 |