Organization
HR PHYSICIAN SERVICES
Active
Other names
Holy Redeemer Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (CHIEF FINANCIAL OFFICER)
(215) 856-1114
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 205, MEADOWBROOK, PA 19046-8004
(215) 938-3145
Mailing address
1650 HUNTINGDON PIKE, SUITE 205, MEADOWBROOK, PA 19046-8004
(215) 938-3145
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
11/20/2013
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