NPI | 1689624884 |
---|---|
Entity Type | Organization |
Authorized Contact | GAVIN BARR President 610-868-6880 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-08-22 |