| NPI | 1932623857 |
|---|---|
| Doing Business As | MMSEPA P PCP 52ND OFFICE |
| Entity Type | Organization |
| Authorized Contact | BETH HOPKINS Credentialing Supervisor 610-567-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-06-28 |