| NPI | 1801904057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S MORRISON Owner 215-947-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS004259L) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |