| NPI | 1932497807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE ANDERSEN Office Manager 610-718-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD039149E) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |