| Land Medical Corporation | |
|
4 Neshaminy Interplex Dr Ste 101 Feasterville Trevose PA 19053-6940 | |
| (215) 294-6790 | |
| (215) 474-4418 |
| Full Name | Land Medical Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 4 Neshaminy Interplex Dr Ste 101, Feasterville Trevose, Pennsylvania |
| Authorized Official Name and Position | Henry I Balogun (CHAIRMAN/CEO) |
| Authorized Official Contact | 2152946790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land Medical Corporation 4 Neshaminy Interplex Dr Ste 101 Feasterville Trevose PA 19053-6940 Ph: (215) 294-6790 | Land Medical Corporation 4 Neshaminy Interplex Dr Ste 101 Feasterville Trevose PA 19053-6940 Ph: (215) 294-6790 |
| NPI Number | 1306262456 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306262456 | NPI | - | NPPES |
| 0018467050006 | Medicaid | PA |
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