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 |