NPI | 1992948038 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ANTHONY CHAVARRIA Manager 215-288-0159 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA MD044909E) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |