NPI | 1669685988 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LAURILLA Office Manager 215-348-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA 025231-l) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |