NPI | 1679336911 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA GABBAI Enrollment Manager 484-569-9066 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
208000000X Pediatrics | |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |