| NPI | 1699912618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL J. MALLIS Medical Director 215-335-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD031074E) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-03-05 |