| NPI | 1982910931 |
|---|---|
| Doing Business As | WOODBOURNE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DANIELLE C CLARKE Regional VP 215-710-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006458E) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2025-05-08 |