| Davita Medical Group Philadelphia, Llc | |
|
2476 Swedesford Rd #150 Malvern PA 19355-1456 | |
| (844) 902-2345 | |
| Not Available |
| Full Name | Davita Medical Group Philadelphia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2476 Swedesford Rd, Malvern, Pennsylvania |
| Authorized Official Name and Position | Michael J Lipp (SHAREHOLDER) |
| Authorized Official Contact | 8449022345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davita Medical Group Philadelphia, Llc 2476 Swedesford Rd #150 Malvern PA 19355-1456 Ph: (844) 902-2345 | Davita Medical Group Philadelphia, Llc 2476 Swedesford Rd #150 Malvern PA 19355-1456 Ph: (844) 902-2345 |
| NPI Number | 1083157150 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083157150 | NPI | - | NPPES |
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