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Organization

DAVITA MEDICAL GROUP PHILADELPHIA, LLC

Active
Other names
Tandigm Care Services (TCS)
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TERRENCE WERNER (SENIOR DIRECTOR OF OPERATIONS)
(215) 568-4678
Entity
Organization

Contact information

Practice address
300 FOUR FALLS CORPORATE CENTER, 300 CONSHOHOCKEN STATE RD., WEST CONSHOHOCKEN, PA 19428
(215) 496-4621
(215) 568-4746
Mailing address
300 FOUR FALLS CORPORATE CENTER, 300 CONSHOHOCKEN STATE RD., WEST CONSHOHOCKEN, PA 19428
(215) 496-4621
(474) 621-5568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/01/2018
Last updated
04/01/2018
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