| NPI | 1699311845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ZITOMER EVP 215-858-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-09-02 |