| NPI | 1982659611 |
|---|---|
| Other Name | FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KENNETH WISEMAN President 215-533-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS4457L) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-08-13 |