NPI | 1750409603 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A STUCCIO President 610-338-8386 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2007-03-27 |
Last Update Date | 2010-02-12 |