Organization
GHRS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS MCCUSKER (OWNER)
(215) 454-6016
Entity
Organization
Contact information
Practice address
3227 KENSINGTON AVE, PHILADELPHIA, PA 19134-1934
(215) 852-5016
Mailing address
4018 WESTAWAY DR, LAFAYETTE HILL, PA 19444-1526
(215) 852-5016
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039562800001
—
PA
Enumeration date
09/23/2021
Last updated
06/13/2022
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