| NPI | 1982718193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L MILLER President 610-419-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS005918L) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-03-17 |