# SAINTS THEODORE AND FRANCES PREVENTIVE MEDICINE

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

## Provider details

- **NPI number:** 1154635365
- **Authorized official:** DR. PHILIP GAYLORD LEWIS (PRESIDENT/CEO)
- **Authorized official phone:** (215) 968-1020

## Contact information

- **Practice address:** 605 FLORAL VALE BLVD, YARDLEY, PA 19067-5528
- **Practice address phone:** (215) 968-1020
- **Practice address fax:** (215) 968-1051
- **Mailing address:** 605 FLORAL VALE BLVD, YARDLEY, PA 19067-5528
- **Mailing address phone:** (215) 968-1020
- **Mailing address fax:** (215) 968-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2010
- **Last updated:** 07/29/2010