| NPI | 1700692779 |
|---|---|
| Doing Business As | PENN MEDICINE LGHP FAMILY MEDICINE QUEEN STREET |
| Entity Type | Organization |
| Authorized Contact | DENISE KENNEDY Vice President Operational Fin 717-544-5010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |