NPI | 1730445198 |
---|---|
Doing Business As | FRONT STREET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RICHARD M DIMONTE President 610-566-1881 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS008967L) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS008967L) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-04-10 |