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Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Other names
Nazareth Health Residency Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KEESE (VP, FINANCE AND CFO)
(301) 754-7201
Entity
Organization
Contact information
Practice address
1407 RHAWN ST, PHILADELPHIA, PA 19111-2803
(267) 957-7027
(267) 957-7029
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(734) 343-2654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/23/2019
Last updated
03/13/2026
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