| NPI | 1801364989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Manager 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-08-05 |