NPI | 1962497131 |
---|---|
Doing Business As | SOMERTON FAMILY MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | RUSSELL R. WAGNER Executive Vice President, Finance 215-856-1114 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 232523377) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2016-12-01 |