| NPI | 1841707965 |
|---|---|
| Other Name | DEDICATED PENNSYLVANIA OLNEY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND JIMENEZ Director Of Client Services 305-628-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-27 |