| NPI | 1720404999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTA ANGELA NOLLER Business Manager 610-375-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD034593E) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD006646E) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |