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Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Organization
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Active
Other names
Southampton St. Mary Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON PROFERA (DIRECTOR OF FINANCE)
(215) 710-2013
Entity
Organization
Contact information
Practice address
501 STREET RD, SUITE 100, SOUTHAMPTON, PA 18966
(215) 322-6060
(215) 322-6099
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
12/27/2023
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