| NPI | 1841646221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ADAMOV Owner 215-834-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD430639) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |