Organization
HR PHYSICIAN SERVICES
Active
Other names
Holy Redeemer Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL WAGNER (CFO)
(215) 856-1114
Entity
Organization
Contact information
Practice address
3300 TILLMAN DR STE 201, BENSALEM, PA 19020-2071
(215) 447-8054
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
PA
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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