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1088 W Baltimore Pike Suite 2201 Media PA 19063-5146 | |
| (610) 565-9599 | |
| (610) 891-8880 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1088 W Baltimore Pike, Media, Pennsylvania |
| Authorized Official Name and Position | Edwin Arthur Schuller (PRESIDENT) |
| Authorized Official Contact | 6105659599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1088 W Baltimore Pike Suite 2201 Media PA 19063-5146 Ph: (610) 565-9599 | 1088 W Baltimore Pike Suite 2201 Media PA 19063-5146 Ph: (610) 565-9599 |
| NPI Number | 1154330801 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154330801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004727L (Pennsylvania) | Primary |
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