| NPI | 1902835028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMED F MCGUCKIN CEO 215202-824-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2013-06-27 |