| NPI | 1992844542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL J MALLIS Medical Director 215-335-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA md031074e) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-12-10 |