| Veracon, Inc | |
|
2511 S Broad St Philadelphia PA 19148-4309 | |
| (800) 434-6070 | |
| (215) 271-8270 |
| Full Name | Veracon, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2511 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Luke W. Bryant (PRESIDENT) |
| Authorized Official Contact | 8004346070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veracon, Inc 2511 S Broad St Philadelphia PA 19148-4309 Ph: (800) 434-6070 | Veracon, Inc 2511 S Broad St Philadelphia PA 19148-4309 Ph: (800) 434-6070 |
| NPI Number | 1942436738 |
|---|---|
| Provider Enumeration Date | 06/07/2009 |
| Last Update Date | 06/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942436738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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