| NPI | 1962462481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CIRKO Executive Director 215-572-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| 208000000X Pediatrics | |
| 251E00000X Home Health (Licence: PA 11883601) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-06-01 |