| NPI | 1891860060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FONG SING President 610-328-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS004263L) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS012109) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |