is a Clinic/center in Bristol, Pennsylvania. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for is 1144487133. The last update date is .
's current location address is 501 Bath Rd, Bristol, Pennsylvania. You can contact this provider via phone number 2157859200 and fax number 2157859039. The mailing address for is 501 Bath Rd, Bristol, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 501 Bath Rd, Bristol, Pennsylvania |
| Phone Number | 2157859200 |
| Fax Number | 2157859039 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144487133 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 501 Bath Rd |
|---|---|
| City | Bristol |
| State | Pennsylvania (PA) |
| Post Code | 190073101 |
| Phone Number | 2157859200 |
| Fax Number | 2157859039 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 123101 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100745380-0007 | PA | -- |
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