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Organization
SOUTHAMPTON PATIENT COORDINATION LLC
Active
Organization
SOUTHAMPTON PATIENT COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEFIM GORBERG (OWNER)
(267) 538-8610
Entity
Organization
Contact information
Practice address
1018 STREET RD, SOUTHAMPTON, PA 18966-4221
(267) 538-8610
Mailing address
122 STEPHENSON WAY, HUNTINGDON VALLEY, PA 19006-2229
(267) 538-8610
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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