| NPI | 1962557082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE P WEAN President 610-891-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD025249E) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |