Organization
HUMANGOOD PENNSYLVANIA
Active
Parent organization
HUMANGOOD PENNSYLVANIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMANGOOD PENNSYLVANIA
Authorized official
GWEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
1515 THE FAIRWAY, JENKINTOWN, PA 19046-1435
(215) 826-3344
Mailing address
1515 THE FAIRWAY, JENKINTOWN, PA 19046-1435
(215) 826-3344
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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