Organization
PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B GROSS M.D. (CHIEF MEDICAL OFFICER)
(610) 862-0182
Entity
Organization
Contact information
Practice address
502 W GERMANTOWN PIKE, SUITE 610, PLYMOUTH MEETING, PA 19462-1309
(610) 862-0182
(610) 862-0183
Mailing address
502 W GERMANTOWN PIKE, SUITE 610, PLYMOUTH MEETING, PA 19462-1309
(610) 862-0182
(610) 862-0183
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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