| NPI | 1649692500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G TRZESNIOWSKI Physician 215-426-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA OS003175L) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OS016628) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-16 |