| NPI | 1962803031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA JEAN DUBROW Practice Manager 610-667-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-009268L) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: PA OS.015962) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |