Organization
HR PHYSICIAN SERVICES
Active
Other names
Redeemer Health Primary Care at Meadowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (EXECUTIVE VICE PRESIDENT, FINANCE)
(215) 856-1114
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 301, MEADOWBROOK, PA 19046-8001
(215) 947-8170
(215) 947-8572
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1010
(215) 698-3730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017974E
PA
Other
Enumeration date
05/10/2016
Last updated
11/14/2024
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