| NPI | 1982729414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL ROSENBERG Physican 215-481-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA MD021454E) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |