| NPI | 1679819908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMAD ALY RIFAI Sole Proprietor 610-829-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD431055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431055) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD431055) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: PA MD431055) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2019-07-18 |