Organization
METRO PHYSICIANS SPECIALTY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PERRY (AO)
(267) 249-1745
Entity
Organization
Contact information
Practice address
2 BALA PLZ STE PL20, BALA CYNWYD, PA 19004-1507
(610) 451-2800
(610) 660-0360
Mailing address
PO BOX 14, BALA CYNWYD, PA 19004-9998
(610) 451-2800
(610) 660-0360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075671430002
—
PA
Enumeration date
06/19/2006
Last updated
03/19/2025
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