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Organization
STOWE MEDICAL GROUP
Active
Organization
STOWE MEDICAL GROUP
Active
Parent organization
STOWE MEDICAL GROUP
Other names
Stowe Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOWE MEDICAL GROUP
Authorized official
KATIE HARRISON (COMMUNICATIONS ADMINISTRATOR)
(610) 327-4200
Entity
Organization
Contact information
Practice address
1610 MEDICAL DR, SUITE 310, POTTSTOWN, PA 19464-3292
(610) 327-4200
Mailing address
555 GLASGOW ST, STOWE, PA 19464-6557
(484) 945-0770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS012002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045725004
KEYSTONE HMO
PA
01
—
26191
BLUE SHIELD ASSIGN.ACCT
PA
Enumeration date
03/19/2007
Last updated
02/10/2014
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