# WE CARE MEDICAL GROUP PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053547182
- **Authorized official:** DR. GENNADIY IVANOV MD (PHYSICIAN)
- **Authorized official phone:** (215) 631-3873

## Contact information

- **Practice address:** 520 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6052
- **Practice address phone:** (215) 631-3873
- **Practice address fax:** (215) 631-3899
- **Mailing address:** 520 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6052
- **Mailing address phone:** (215) 631-3873
- **Mailing address fax:** (215) 631-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 10/05/2018