| NPI | 1902829922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DANA DIABO Medical Director 215-423-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD417182) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |