NPI | 1679916522 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA D CORTESE Family Nurse Practitioner 610-304-6437 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: DE LG-0000650) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |