| NPI | 1790951390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG VOLCHONOK President 215-969-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD055985L) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2010-04-05 |