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925 Providence Rd Ste 8/9 Secane PA 19018-2920 | |
(610) 394-1234 | |
(610) 284-4811 |
Full Name | |
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Speciality | Family Medicine |
Location | 925 Providence Rd Ste 8/9, Secane, Pennsylvania |
Authorized Official Name and Position | Kimberly A Cummings (VP, FINANCE AND CFO) |
Authorized Official Contact | 2157102508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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41 University Dr Ste 300 Newtown PA 18940-1873 Ph: (734) 343-2654 | 925 Providence Rd Ste 8/9 Secane PA 19018-2920 Ph: (610) 394-1234 |
NPI Number | 1285158105 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 12/02/2024 |
Identifier | Type | State | Issuer |
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1285158105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |