| NPI | 1871548057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH NEILL Office Manager 215-638-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD031255E) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |