| NPI | 1699817056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BERNOT KIMMEL President 215-535-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS005625L) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-03-04 |