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Organization
1977 MESK
Active
Organization
1977 MESK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA OSADZE (ADMINISTRATOR)
(407) 305-3791
Entity
Organization
Contact information
Practice address
605 LOUIS DR, WARMINSTER, PA 18974-2830
(407) 305-3791
Mailing address
605 LOUIS DR, WARMINSTER, PA 18974-2830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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