| NPI | 1922422849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI YACONO Owner/Physician 610-505-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014411) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |