| NPI | 1740278761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA WOODARD Credentialing/Manager 215-707-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Additional Taxonomies | 261QX0200X Clinic/Center Oncology |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-06-15 |