| NPI | 1932505385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA F BROWN Owner 215-200-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OS004959L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS004959L) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-09-28 |