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Organization
VIVIFY LLC
Active
Organization
VIVIFY LLC
Active
Other names
Vivify Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BERNARD WATSON DO (MEMBER)
(610) 292-9547
Entity
Organization
Contact information
Practice address
31 E FORNANCE ST, NORRISTOWN, PA 19401-3311
(610) 292-9547
(610) 292-9548
Mailing address
31 E FORNANCE ST, NORRISTOWN, PA 19401-3311
(610) 292-9547
(610) 292-9548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010947L
PA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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