| NPI | 1730445198 |
|---|---|
| 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 |