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115 E Glenside Ave Suite 7 Glenside PA 19038-4618 | |
| (215) 572-8944 | |
| (215) 572-5036 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 115 E Glenside Ave, Glenside, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
115 E Glenside Ave Suite 7 Glenside PA 19038-4618 Ph: (215) 572-8944 | 115 E Glenside Ave Suite 7 Glenside PA 19038-4618 Ph: (215) 572-8944 |
| NPI Number | 1629022231 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629022231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Be Transformed Wellness Centers Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2609 Jenkintown Rd, Glenside, PA 19038 Phone: 215-659-7345 Fax: 215-780-1221 | |