Organization
DAVITA MEDICAL GROUP PHILADELPHIA, LLC
Active
Organization
DAVITA MEDICAL GROUP PHILADELPHIA, LLC
Active
Other names
Tandigm Care Services (CCS)
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TERRENCE WERNER (SENIOR DIRECTOR OF OPERATIONS)
(215) 568-4678
Entity
Organization
Contact information
Practice address
300 FOUR FALLS CORPORATE CENTER, 300 CONSHOHOCKEN STATE ROAD, SECOND FLOOR SUITE 260, WEST CONSHOHOCKEN, PA 19428
(215) 496-4621
(215) 568-4746
Mailing address
300 FOUR FALLS CORPORATE CENTER, 300 CONSHOHOCKEN STATE ROAD, SECOND FLOOR SUITE 260, WEST CONSHOHOCKEN, PA 19428
(215) 496-4621
(215) 568-4746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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