| NPI | 1801079512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA SCOTT CANTOR Owner 610-933-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 175L00000X Homeopath |
| 207Q00000X Family Medicine | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2015-11-13 |