| NPI | 1861494056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DEANGELES Credentialing COO Rdinator 610-973-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-03-01 |