Organization
NAZARETH PHYSICIAN SERVICES INC
Active
Parent organization
NAZARETH PHYSICIAN SERVICES INC
Other names
Mercy Cardiology at Naz 100
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAZARETH PHYSICIAN SERVICES INC
Authorized official
AIMEE BRENNAN (CREDENTIALING SUPERVISOR)
(610) 567-6964
Entity
Organization
Contact information
Practice address
2701 HOLME AVE, SUITE 100, PHILADELPHIA, PA 19152-2029
(215) 332-3972
(215) 331-3784
Mailing address
1 W ELM ST, SUITE 200, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
(610) 567-5420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014655140001
—
PA
Enumeration date
05/19/2016
Last updated
04/20/2017
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