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5649 Wynnewood Dr #203 Laurys Station PA 18059-1138 | |
(610) 261-1123 | |
(610) 262-1739 |
Full Name | |
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Speciality | Family Medicine |
Location | 5649 Wynnewood Dr, Laurys Station, Pennsylvania |
Authorized Official Name and Position | Jennifer Stephens (SR VP & CHIEF VALUE OFFICER) |
Authorized Official Contact | 4848844500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 783311 Philadelphia PA 19178-3311 Ph: () - | 5649 Wynnewood Dr #203 Laurys Station PA 18059-1138 Ph: (610) 261-1123 |
NPI Number | 1194897595 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 01/22/2025 |
Identifier | Type | State | Issuer |
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1194897595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |