Organization
YOUNG MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CHARLOTTE TESTAIUTI (PHYSICIAN ASSISTANT)
(610) 715-3199
Entity
Organization
Contact information
Practice address
635 N BROAD ST, LANSDALE, PA 19446-2316
(610) 715-3199
Mailing address
635 N BROAD ST, LANSDALE, PA 19446-2316
(610) 715-3199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001192L
PA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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