| NPI | 1720310626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSME Y MANZARBEITIA Managing Member 484-716-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD055579L) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2023-10-09 |