NPI | 1982860862 |
---|---|
Entity Type | Organization |
Authorized Contact | DARLENE YVONNE OUATTARA Physician/Admin 610-321-1940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA OS012561) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2014-03-18 |