| NPI | 1841661378 |
|---|---|
| Doing Business As | SOUTHAMPTON ST. MARY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHARON PROFERA Director Of Finance 215-710-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2023-12-27 |