| NPI | 1679135420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FORD Sr Mngr In Cred/Authorized Official 484-643-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-03-28 |