| NPI | 1760794846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL BLUESTEIN Program Director 610-277-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT196847) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |