NPI | 1659888550 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB L ROSS Partner 610-563-5083 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2018-01-02 |
Last Update Date | 2018-01-02 |