| NPI | 1962456103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON K IJELU Medical Director 215-924-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD044243E) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-12-21 |