| NPI | 1861692113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILIND M VAZE Physician 215-914-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD051961L) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2010-03-08 |