| NPI | 1922373687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY WILLIAM HERNANDEZ Medical Director 610-419-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD419601) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2019-02-27 |