Organization
HR PHYSICIAN SERVICES
Active
Other names
Redeemer Health Orthopedic Surgery (do not use)
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
23 BUSTLETON PIKE, STE 300, FEASTERVILLE TREVOSE, PA 19053-6446
(215) 436-6999
(215) 436-6998
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1010
(215) 856-1060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00153134400030
—
PA
Enumeration date
02/13/2017
Last updated
08/14/2024
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