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Organization

FOUNTAIN HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMMANUEL UGWUOKE M.D (PRESIDENT)
(267) 266-6820
Entity
Organization

Contact information

Practice address
3554 HULMEVILLE RD STE 106, BENSALEM, PA 19020-4366
(215) 639-3185
(215) 639-3184
Mailing address
3554 HULMEVILLE RD STE 106, BENSALEM, PA 19020-4366
(215) 639-3185
(215) 639-3184

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024539660001
PA
Enumeration date
06/05/2010
Last updated
07/12/2024
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