| NPI | 1710439450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN B LEVYN Owner 215-634-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003971) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |