NPI | 1750949814 |
---|---|
Doing Business As | GERIATRIC AND ADULT MEDICINE |
Entity Type | Organization |
Authorized Contact | RONALD KUMOR Senior Vice President 215-612-4858 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-10-12 |