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Organization

HR PHYSICIAN SERVICES

Active
Other names
Meadowbrook Surgery Services
Organization subpart
No

Provider details

NPI number
Authorized official
RUSS WAGNER (CHIEF MEDICAL OFFICER)
(215) 856-1114
Entity
Organization

Contact information

Practice address
1650 HUNTINGDON PIKE, SUITE 318, MEADOWBROOK, PA 19046-8004
(215) 947-6616
Mailing address
1650 HUNTINGDON PIKE, SUITE 318, MEADOWBROOK, PA 19046-8004
(215) 947-6616

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD023900
PA

Other

Enumeration date
05/26/2011
Last updated
07/25/2012
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