Organization
HYEROX 1LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN R CAMPBELL (PRACTICE MANAGER)
(215) 826-8022
Entity
Organization
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9798
(215) 785-9790
Mailing address
424 MILL ST, CANALS END, BRISTOL, PA 19007-4813
(215) 826-8050
(215) 826-8053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05008318L
PA
207Q00000X
Family Medicine Physician
05010460L
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
OS008318L
PA
Other
Enumeration date
01/30/2007
Last updated
08/13/2009
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