| NPI | 1902976202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BYNUM Medicare Department 215-224-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-05-02 |