Organization
VERACON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE W. BRYANT (PRESIDENT)
(800) 434-6070
Entity
Organization
Contact information
Practice address
2511 S BROAD ST, PHILADELPHIA, PA 19148-4309
(800) 434-6070
(215) 271-8270
Mailing address
2511 S BROAD ST, PHILADELPHIA, PA 19148-4309
(800) 434-6070
(215) 271-8270
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2009
Last updated
06/07/2009
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