| NPI | 1831191691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ALAN COOPERSTEIN Owner/Physician 610-873-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-005991-L) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2009-01-07 |