| NPI | 1760580773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE M FOX Office Manager 215-492-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA md024544l) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-05-11 |