Organization
CLINICAL CAR ASSOCIATES OF THE U OF PA HEALTH
Active
Parent organization
MEDVANTX, INC.
Other names
PENN MEDICINE VALLEY FORGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1001 CHESTERBROOK BLVD, 2ND FLOOR EAST, BERWYN, PA 19312-3805
(610) 576-7611
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD039970L
PA
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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