| Kidworx Pediatric Center, Llc | |
|
3 Village Rd Ste 100 Horsham PA 19044-3812 | |
| (215) 830-8870 | |
| Not Available |
| Full Name | Kidworx Pediatric Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3 Village Rd Ste 100, Horsham, Pennsylvania |
| Authorized Official Name and Position | Maria Mahoney (OWNER) |
| Authorized Official Contact | 2158308870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidworx Pediatric Center, Llc 3 Village Rd Ste 100 Horsham PA 19044-3812 Ph: (215) 830-8870 | Kidworx Pediatric Center, Llc 3 Village Rd Ste 100 Horsham PA 19044-3812 Ph: (215) 830-8870 |
| NPI Number | 1477805737 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477805737 | NPI | - | NPPES |
| 0017043070004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD063137L (Pennsylvania) | Primary |
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