Organization
GLENDALE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J SEARS (PRESIDENT)
(215) 456-7890
Entity
Organization
Contact information
Practice address
1601 N BROAD ST, PHILADELPHIA, PA 19122-6024
(215) 456-7890
Mailing address
1601 N BROAD ST, PHILADELPHIA, PA 19122-6024
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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