Vanguard Majestic | |
700 Admiral Nelson Drive Malvern PA 19355 | |
(610) 669-9355 | |
(610) 669-3373 |
Full Name | Vanguard Majestic |
---|---|
Speciality | General Practice |
Location | 700 Admiral Nelson Drive, Malvern, Pennsylvania |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vanguard Majestic 5500 Maryland Way Suite 120 Brentwood TN 37027-4993 Ph: () - | Vanguard Majestic 700 Admiral Nelson Drive Malvern PA 19355 Ph: (610) 669-9355 |
NPI Number | 1245530914 |
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Provider Enumeration Date | 10/28/2010 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245530914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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