| NPI | 1801069414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE WARNER-MARON Practice Manager 610-917-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS003134L) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |