| NPI | 1962667899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RICHARD SHARP Physician 610-377-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA OS010664L) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |