Organization
JENNERSVILLE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M CALLAHAN D.O. (PRESIDENT)
(610) 869-3620
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 301, WEST GROVE, PA 19390-9446
(610) 869-3620
(610) 869-0358
Mailing address
1011 W BALTIMORE PIKE, SUITE 301, WEST GROVE, PA 19390-9446
(610) 869-3620
(610) 869-0358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004477L
PA
Other
Enumeration date
05/22/2009
Last updated
09/28/2010
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