Organization
GLOW WELLNESS, PLLC
Active
Other names
Glow Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARTIN NP (OWNER)
(908) 914-1040
Entity
Organization
Contact information
Practice address
1726 FEDERAL ST, PHILADELPHIA, PA 19146-3016
(908) 914-1040
Mailing address
1726 FEDERAL ST, PHILADELPHIA, PA 19146-3016
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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