| NPI | 1679747828 |
|---|---|
| Other Name | FAMILY MEDICINE/OBGYN |
| Entity Type | Organization |
| Authorized Contact | JOHN OGUNKEYE Executive Director 215-955-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-24 |