Organization
PHILIP A GELACEK MD & ASSOCIATES PC
Active
Parent organization
MEDVANTX INC
Other names
Philip A Gelacek MD & Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
313 FORD ST, 2A, FORD CITY, PA 16226-1268
(724) 763-7144
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD020788E
PA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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