Organization
HR PHYSICIAN SERVICES
Active
Other names
Redeemer Pediatric Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (TREASURER)
(215) 856-1114
Entity
Organization
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2748
(215) 938-2966
Mailing address
12265 TOWNSEND RD, SUITE 500, PHILADELPHIA, PA 19154-1201
(215) 856-1009
(215) 856-1020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
PA
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015313400030
—
PA
Enumeration date
08/10/2005
Last updated
07/21/2022
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