Organization
HR PHYSICIAN SERVICES
Active
Other names
Integrative Women's Health and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (EXECUTIVE, VICE PRESIDENT FINANCE)
(215) 856-1114
Entity
Organization
Contact information
Practice address
385 OXFORD VALLEY RD, SUITE 310, YARDLEY, PA 19067-7700
(215) 544-5696
(215) 321-0476
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD047631L
PA
Other
Enumeration date
11/07/2016
Last updated
12/29/2016
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