NPI | 1972592392 |
---|---|
Doing Business As | JENKINTOWN INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | ANU R KONAKANCHI President 215-887-9840 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD055549L) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2009-12-09 |