NPI | 1871610782 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JEFFREY HERRING Owner 610-692-6787 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD036155E) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |