Organization
RESTORE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ALI CRNP (OWNER/CEO)
(610) 803-3781
Entity
Organization
Contact information
Practice address
1154 BALTIMORE PIKE STE B, SPRINGFIELD, PA 19064-2850
(610) 803-3781
Mailing address
123 WALSH RD, LANSDOWNE, PA 19050-2116
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043325940001
—
PA
Enumeration date
05/02/2025
Last updated
05/02/2025
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