Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA POTTSVILLE OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
1 S 2ND ST, 4TH FLOOR, POTTSVILLE, PA 17901-3174
(570) 622-6485
(570) 622-2422
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
547027
PA
Other
Enumeration date
08/21/2009
Last updated
02/24/2022
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