| NPI | 1952323461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN NELSON CEO 215-546-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |