| NPI | 1851397731 |
|---|---|
| Doing Business As | FAMILY MEDICINE, GERIATRICS & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH F MAMBU President 215-540-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: PA MD017725E) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-06-19 |