| NPI | 1851349328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICANOR GOMEZ GRANADOS President 610-779-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD014870E) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |