| NPI | 1881135697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOY MELLER Physician 215-827-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS012125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012125) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-22 |