| NPI | 1942521810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. MICHEL Administrator 215-906-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA os014431) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-05-06 |