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Organization

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Active
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Organization

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Active
Other names
WOODBOURNE FAMILY PRACTICE
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE C CLARKE (REGIONAL VP)
(215) 710-6542
Entity
Organization

Contact information

Practice address
1609 WOODBOURNE RD STE 101, INACTIVE DO NOT USE THIS ONE, LEVITTOWN, PA 19057
(215) 945-1500
(215) 945-9192
Mailing address
41 UNIVERSITY DRIVE, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006458E
PA

Other

Enumeration date
08/27/2010
Last updated
05/08/2025
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