| NPI | 1720138928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KHANDROS Osteopatic Medical Doctor 215-676-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012725) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |