| NPI | 1679677975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-11-19 |