| NPI | 1952415010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREEN Office Manager 610-866-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS008314L) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-06-28 |