| NPI | 1669410387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD P OETZEL CFO 215-728-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: PA 101301) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |