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Organization

GAUDENZIA INC

Active
Other names
GAUDENZIA AT LANDOVER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J MOYLE J.D. (DIR. FISCAL & CORPORATE OPERATIONS)
(610) 239-9600
Entity
Organization

Contact information

Practice address
337 BRIGHTSEAT RD, LANDOVER, MD 20785-4736
(301) 324-1201
(301) 324-1215
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
13386
MD

Other

Enumeration date
05/07/2007
Last updated
08/22/2020
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