| NPI | 1851735302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARUIE CONTINO Office Administrator 267-639-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS003735L) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |