Organization
HR PHYSICIAN SERVICES
Active
Other names
Holland Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL R. WAGNER (EXECUTIVE VICE PRESIDENT, FINANCE)
(215) 856-1114
Entity
Organization
Contact information
Practice address
23 BUSTLETON AVENUE, SUITE 200, FEASTERVILLE, PA 19053
(215) 464-0770
(267) 579-0720
Mailing address
PO BOX 8500 BOX #4081, PHILADELPHIA, PA 19178-4081
(215) 856-1010
(215) 698-3730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001531340030
—
PA
Enumeration date
07/27/2005
Last updated
12/14/2016
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