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300 Four Falls Corporate Center 300 Conshohocken State Road, Second Floor Suite 260 West Conshohocken PA 19428 | |
(215) 496-4621 | |
(215) 568-4746 |
Full Name | |
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Speciality | Internal Medicine |
Location | 300 Four Falls Corporate Center, West Conshohocken, Pennsylvania |
Authorized Official Name and Position | Michael Terrence Werner (SENIOR DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2155684678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 Four Falls Corporate Center 300 Conshohocken State Road, Second Floor Suite 260 West Conshohocken PA 19428 Ph: (215) 496-4621 | 300 Four Falls Corporate Center 300 Conshohocken State Road, Second Floor Suite 260 West Conshohocken PA 19428 Ph: (215) 496-4621 |
NPI Number | 1538665351 |
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Provider Enumeration Date | 04/02/2018 |
Last Update Date | 04/02/2018 |
Identifier | Type | State | Issuer |
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1538665351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |