| NPI | 1912102971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMPRASAD PATNAIK Medical Doctor 215-848-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA md037052l) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2009-05-29 |