| NPI | 1730403445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY AUSTIN Cno 215-746-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA SP010396) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |