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Organization

SENIOR HEALTH ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD P OETZEL (CFO)
(215) 728-3306
Entity
Organization

Contact information

Practice address
7604 CENTRAL AVE, PHILADELPHIA, PA 19111-2433
(215) 742-2100
Mailing address
7604 CENTRAL AVE, PHILADELPHIA, PA 19111-2433
(215) 742-2100

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
101301
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19033
HEALTH PARTNERS GROUP ID
PA
Enumeration date
06/03/2006
Last updated
08/22/2020
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