| NPI | 1780048579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C BUCCO President 610-744-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |