| NPI | 1790055820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H. WAPLES Physician 215-747-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD021105-E) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |