Organization
LTC TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RANWWEILER (DIRECTOR)
(215) 282-6640
Entity
Organization
Contact information
Practice address
7712 BUIST AVE APT B, PHILADELPHIA, PA 19153-1705
(215) 282-6640
Mailing address
3720 SPRUCE ST # 318, PHILADELPHIA, PA 19104-4115
(215) 282-6640
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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