Granite Medical Pc

NPI 1043549678 - Clinic/Center - 261QP2300X

NPI Details
NPI 1043549678
Enumeration Date 12/10/2009
Last Updated 12/10/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LAWRENCE P LAWRENCE
Position MEDICAL DOCTOR
Phone (610) 891-9640
Fax (610) 891-9644
Practice Location
1098 W BALTIMORE PIKE
RMH OPP STE 3304
MEDIA PA, 19063-5139, US
Phone (610) 891-9640
Fax (610) 891-9644
Business Location
1098 W BALTIMORE PIKE
RMH OPP STE 3304
MEDIA PA, 19063-5139, US
Phone (610) 891-9640
Fax (610) 891-9644
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1043549678 NPI Number
 

According to our database, Granite Medical Pc NPI is 1043549678, taxonomy code is 261QP2300X Granite Medical Pc physically located at 1098 W Baltimore Pike, Media PA, 19063-5139. NPI Number 1033115704 has the healthcare provider type.

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1043549678 NPI number is provided on an as is basis without warranty of any kind. 1043549678 is maintained by the National Plan & Provider Enumeration System. The contents of Granite Medical Pc are for informational purposes only.