| NPI | 1760552434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-08-08 |