| NPI | 1679131585 |
|---|---|
| Doing Business As | CENTRAL SQUARE MEDICAL TORRESDALE |
| Entity Type | Organization |
| Authorized Contact | RONALD KUMOR Senior Vice President 215-612-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |