| NPI | 1659536738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B RAGONESI Doctor 215-755-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD030257E) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |