Gaudenzia Drc Inc

NPI 1073736104 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073736104
Enumeration Date 04/10/2007
Last Updated 07/19/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J MICHAEL
Position DIR. FISCAL & CORPORATE OPERATIONS
Phone (215) 991-9700
Fax (215) 991-9796
Practice Location
3200 HENRY AVE
PHILADELPHIA PA, 19129-1137, US
Phone (215) 991-9700
Fax (215) 991-9796
Business Location
106 W MAIN ST
NORRISTOWN PA, 19401-4716, US
Phone (610) 239-9600
Fax (610) 275-7025
Toxanomy
Taxonomy Code 261Q00000X
License State Pennsylvania
License Number 800103
Remove 1073736104 NPI Number
 

According to our database, Gaudenzia Drc Inc NPI is 1073736104, taxonomy code is 261Q00000X and license number is 800103, license state is located at Pennsylvania. Gaudenzia Drc Inc physically located at 3200 Henry Ave, Philadelphia PA, 19129-1137. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073736104 NPI number is provided on an as is basis without warranty of any kind. 1073736104 is maintained by the National Plan & Provider Enumeration System. The contents of Gaudenzia Drc Inc are for informational purposes only.