# HRT PA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Men's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821860784
- **Authorized official:** TEAH MICHELLE SMITH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (901) 205-3999

## Contact information

- **Practice address:** 1615 LIMEKILN PIKE, DRESHER, PA 19025-1053
- **Practice address phone:** (267) 201-8162
- **Mailing address:** 1615 LIMEKILN PIKE, DRESHER, PA 19025-1053

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023