NPI | 1962174201 |
---|---|
Doing Business As | LVPG INTERNAL MEDICNE - PINE STREET |
Entity Type | Organization |
Authorized Contact | JAMES DEMOPOULOS Sr VP & COO L VP G 484-862-3333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-11-20 |