| NPI | 1801917471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA D PEDANO Physician, Owner 215-487-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS 008075 L) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-10-27 |