is a Geriatric Medicine in Royersford, Pennsylvania. practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for is 1467619452. The last update date is .
's current location address is 1600 Black Rock Rd, Royersford, Pennsylvania. You can contact this provider via phone number 6107922224. The mailing address for is 1600 Black Rock Rd, Royersford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1600 Black Rock Rd, Royersford, Pennsylvania |
| Phone Number | 6107922224 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467619452 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1600 Black Rock Rd |
|---|---|
| City | Royersford |
| State | Pennsylvania (PA) |
| Post Code | 194683147 |
| Phone Number | 6107922224 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417904897 | PA | NPI | |
| P00353119 | PA | RAILROAD | |
| 970001552 | PA | RAILROAD | |
| 80140805 | PA | RAILROAD | |
| 1962412791 | PA | NPI | |
| MA000727L | PA | LICENSE | |
| P00353128 | PA | RAILROAD | |
| OS006559L | PA | LICENSE | |
| 10062489 | PA | RAILROAD # | |
| 80140805 | PA | RAILROAD # |
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