| NPI | 1962513531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FOGATA Owner 215-726-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 053767L) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD 053767L) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-20 |