Organization
CONCIERGE SPINE AND SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI M KHANNA MD (PHYSICIAN OWNER)
(267) 551-4200
Entity
Organization
Contact information
Practice address
1200 CONSTITUTION AVE, PHILADELPHIA, PA 19112-1329
(267) 551-4200
(856) 861-0928
Mailing address
22 MADEIRA CT, MOORESTOWN, NJ 08057-3144
(202) 262-5629
(856) 861-0928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/17/2023
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