# SOUTHAMPTON PATIENT COORDINATION LLC

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

## Provider details

- **NPI number:** 1225483332
- **Authorized official:** MR. YEFIM GORBERG (OWNER)
- **Authorized official phone:** (267) 538-8610

## Contact information

- **Practice address:** 1018 STREET RD, SOUTHAMPTON, PA 18966-4221
- **Practice address phone:** (267) 538-8610
- **Mailing address:** 122 STEPHENSON WAY, HUNTINGDON VALLEY, PA 19006-2229
- **Mailing address phone:** (267) 538-8610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 04/26/2016
