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Organization

100PLUS CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER MICHAEL LITCHFIELD (PHYSICIAN)
(423) 426-4188
Entity
Organization

Contact information

Practice address
3 BALA PLZ W STE 200, BALA CYNWYD, PA 19004-3478
(215) 292-6966
Mailing address
PO BOX 23736, NASHVILLE, TN 37202-3736

Taxonomy

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

Other

Enumeration date
03/31/2025
Last updated
10/28/2025
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