Organization
NEWTOWN RAQUETBALL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JAMES WORTHINGTON (OWNER/PRESIDENT)
(215) 968-0600
Entity
Organization
Contact information
Practice address
120 PHEASANT RUN, NEWTOWN, PA 18940-1821
(215) 968-0600
Mailing address
120 PHEASANT RUN, NEWTOWN, PA 18940-1821
(215) 968-0600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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