| NPI | 1750565263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURYA KUMARI VANGORE Primary Care Physcian 215-455-3444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA MD038910L) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2020-03-02 |