| NPI | 1982783882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DISTASIO Practice Manager 215-762-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-04-24 |