| NPI | 1912044306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD W. JOHNSON Medical Director 215-471-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS00215OL) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |