| NPI | 1811921281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B PARKS Medical Director 215-229-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD023038E) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-03-28 |