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504 Stidman Dr Springfield PA 19064-2843 | |
| (215) 836-3131 | |
| (215) 836-1802 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 Stidman Dr, Springfield, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | 504 Stidman Dr Springfield PA 19064-2843 Ph: (215) 836-3131 |
| NPI Number | 1114235181 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114235181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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