Organization
THW GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA RUBIN (VICE PRESIDENT)
(215) 335-3520
Entity
Organization
Contact information
Practice address
7900 FRANKFORD AVE, PHILADELPHIA, PA 19136-3041
(215) 335-3520
(215) 335-3130
Mailing address
PO BOX 1445, SOUTHAMPTON, PA 18966-0829
(215) 335-3520
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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