| NPI | 1871945808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUONG COO 215-992-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD434225pe) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019240) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2019-12-10 |