Organization
WE CARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADIY IVANOV MD (PHYSICIAN)
(215) 631-3873
Entity
Organization
Contact information
Practice address
520 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6052
(215) 631-3873
(215) 631-3899
Mailing address
520 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-6052
(215) 631-3873
(215) 631-3899
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
10/05/2018
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