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150 Monument Rd Suite 207-0039 Bala Cynwyd PA 19004-1702 | |
| (215) 987-3732 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Monument Rd, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Carolyn M Cavuto (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6095345998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
231 High St Fl 1 Mount Holly NJ 08060-1450 Ph: (609) 534-5998 | 150 Monument Rd Suite 207-0039 Bala Cynwyd PA 19004-1702 Ph: (215) 987-3732 |
| NPI Number | 1356731848 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356731848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006503L (Pennsylvania) | Primary |
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