Organization
SHANNONDELL, INC.
Active
Parent organization
SHANNONDELL, INC.
Other names
Shannondell Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANNONDELL, INC.
Authorized official
MR. DANIEL FREED (VICE PRESIDENT OF HEALTH SERVICES)
(610) 728-5400
Entity
Organization
Contact information
Practice address
5000 SHANNONDELL DR, AUDUBON, PA 19403-5684
(610) 728-5400
Mailing address
5000 SHANNONDELL DR, AUDUBON, PA 19403-5684
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
03/10/2023
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