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Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON PROFERA (INTERIM CFO)
(215) 710-2013
Entity
Organization
Contact information
Practice address
1201 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1201
(215) 710-2000
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-7037
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749737
—
PA
Enumeration date
07/19/2007
Last updated
12/27/2023
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