| NPI | 1679693857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY M CARBONE Owner Provider 610-379-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA md043165L) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-03-13 |