| NPI | 1861576753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE GAVARONE President Owner 215-673-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-06-29 |