# GWYNEDD FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1619014933
- **Authorized official:** DR. BRETT S. FISSEL MD (OWNER)
- **Authorized official phone:** (215) 997-9737

## Contact information

- **Practice address:** 1600 HORIZON DR, SUITE 117, CHALFONT, PA 18914-4100
- **Practice address phone:** (215) 997-9737
- **Practice address fax:** (215) 997-9738
- **Mailing address:** 1600 HORIZON DR, SUITE 117, CHALFONT, PA 18914-4100
- **Mailing address phone:** (215) 997-9737
- **Mailing address fax:** (215) 997-9738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 12/21/2011