| NPI | 1730336017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROSELLI Resident Physician 215-913-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PA MT187897) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |