Organization
RESTORE FIRST HEALTH PENN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DOROSHOW (OWNER)
(215) 480-7222
Entity
Organization
Contact information
Practice address
2250 HICKORY RD STE 140, PLYMOUTH MEETING, PA 19462-1047
(610) 379-2904
Mailing address
2250 HICKORY RD STE 140, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
05/06/2024
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