Devine Concierge Medicine, Llc | |
165 Ridgewood Rd Wayne PA 19087-2846 | |
(610) 554-5626 | |
Not Available |
Full Name | Devine Concierge Medicine, Llc |
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Speciality | Internal Medicine |
Location | 165 Ridgewood Rd, Wayne, Pennsylvania |
Authorized Official Name and Position | Daniel J. Devine (CO-FOUNDER) |
Authorized Official Contact | 6105545626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Devine Concierge Medicine, Llc 104 South Wayne Avenue, P.o. Box #279 Wayne PA 19087 Ph: (610) 554-5626 | Devine Concierge Medicine, Llc 165 Ridgewood Rd Wayne PA 19087-2846 Ph: (610) 554-5626 |
NPI Number | 1093324527 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 08/05/2020 |
Identifier | Type | State | Issuer |
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1093324527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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