Organization
NEVIMA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA POLNET (PRESIDENT)
(215) 322-6362
Entity
Organization
Contact information
Practice address
73 BUCK RD, HUNTINGDON VALLEY, PA 19006-1501
(215) 322-6360
(215) 322-6362
Mailing address
73 BUCK RD, HUNTINGDON VALLEY, PA 19006-1501
(215) 322-6360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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