Organization
CONCENTRA HEALTH SERVICES INC
Active
Organization
CONCENTRA HEALTH SERVICES INC
Active
Other names
Concentra Medical Center - Germantown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FOGARTY M.D. (SR VP, CMO)
(972) 364-8103
Entity
Organization
Contact information
Practice address
2 PENN BLVD, SUITE 220, PHILADELPHIA, PA 19144-1416
(215) 438-5390
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/28/2007
Last updated
10/19/2007
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