Organization
ELWYN
Active
Other names
Arch
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (PAYER CONTRACT SPECIALIST)
(445) 206-3028
Entity
Organization
Contact information
Practice address
4040 MARKET ST, PHILADELPHIA, PA 19104-3003
(215) 895-5500
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2000
(610) 891-2106
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
02/19/2022
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