| NPI | 1700131539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN COLLINS Physician 215-938-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS010435L) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-06-12 |