| NPI | 1750910808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETH FONTAINE Nurse Practitioner 215-904-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-06-13 |