Organization
HRT PA PC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH SMITH (CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
582 MIDDLETOWN BLVD STE B22, LANGHORNE, PA 19047-1879
(267) 201-8162
Mailing address
582 MIDDLETOWN BLVD STE B22, LANGHORNE, PA 19047-1879
(267) 201-8162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/13/2023
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