| NPI | 1811611692 |
|---|---|
| Doing Business As | SPORTS MEDICINE CHESTNUT HILL MANAYUNK THMG |
| Entity Type | Organization |
| Authorized Contact | ROBERT EHINGER Sr VP Financial Operations 484-628-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |