| Constitution Health Llc | |
|
1215 Cedar Grove Rd Media PA 19063-1044 | |
| (610) 574-3978 | |
| Not Available |
| Full Name | Constitution Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1215 Cedar Grove Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Holly Gleeson Schrock (MANAGING PARTNER) |
| Authorized Official Contact | 6105743978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Constitution Health Llc 1215 Cedar Grove Rd Media PA 19063-1044 Ph: (610) 574-3978 | Constitution Health Llc 1215 Cedar Grove Rd Media PA 19063-1044 Ph: (610) 574-3978 |
| NPI Number | 1982237145 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982237145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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