| NPI | 1871871731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI NIKPARVAR Owner 215-921-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD424252) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2013-03-08 |