| NPI | 1952575284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN DAVIS Staff Physician 215-345-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA OS2964) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |