NPI | 1962174201 |
---|---|
Doing Business As | LVPG INTERNAL MEDICNE - PINE STREET |
Entity Type | Organization |
Authorized Contact | JENNIFER STEPHENS Sr VP & Chief Value Officer 484-862-3152 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-10-05 |
Last Update Date | 2025-01-31 |