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255 N Easton Rd Glenside PA 19038-4717 | |
(215) 884-5511 | |
(215) 884-7125 |
Full Name | |
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Speciality | Family Medicine |
Location | 255 N Easton Rd, Glenside, Pennsylvania |
Authorized Official Name and Position | Zachary Lyons (PHYSICIAN) |
Authorized Official Contact | 2158845511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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255 N Easton Rd Glenside PA 19038-4717 Ph: (215) 884-5511 | 255 N Easton Rd Glenside PA 19038-4717 Ph: (215) 884-5511 |
NPI Number | 1316493505 |
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Provider Enumeration Date | 08/29/2016 |
Last Update Date | 08/29/2016 |
Identifier | Type | State | Issuer |
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1316493505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD455731 (Pennsylvania) | 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 | |