| NPI | 1972028272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EISENHOWER President 215-233-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD421472) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD421472) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |