| NPI | 1659552362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZAT K AL-BACHA HJAZI Officer 215-324-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD432731) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2011-08-22 |