Collegeville Medical Center Pc

NPI 1154734622 - Family Medicine - 207Q00000X

NPI Details
NPI 1154734622
Enumeration Date 06/03/2014
Last Updated 10/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KEM KEM
Position OWNER
Phone (601) 489-8645
Fax (610) 489-6329
Practice Location
753 W MAIN ST
TRAPPE PA, 19426-1948, US
Phone (601) 489-8645
Fax (610) 489-6329
Business Location
PO BOX 299
DELAWARE WATER GAP PA, 18327-0299, US
Phone (610) 489-8645
Fax (610) 489-6329
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Collegeville Medical Center Pc NPI is 1154734622, taxonomy code is 207Q00000X Collegeville Medical Center Pc physically located at 753 W Main St, Trappe PA, 19426-1948. NPI Number 1033115704 has the healthcare provider type.

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1154734622 NPI number is provided on an as is basis without warranty of any kind. 1154734622 is maintained by the National Plan & Provider Enumeration System. The contents of Collegeville Medical Center Pc are for informational purposes only.