| NPI | 1942630678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH V PONGONIS Medical Director 215-332-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA os004384-l) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-05-16 |