Organization
SEPA HORSHAM SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WOLFE (AUTHORIZED OFFICIAL)
(215) 277-5888
Entity
Organization
Contact information
Practice address
721 DRESHER RD STE 2100, HORSHAM, PA 19044-7701
(517) 787-6440
Mailing address
PO BOX 826499, PHILADELPHIA, PA 19182-6499
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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