Organization
SANDPIPERMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A BEATTY MD (PRESIDENT)
(215) 242-0420
Entity
Organization
Contact information
Practice address
6 E WILLOW GROVE AVE, PHILADELPHIA, PA 19118-3426
(215) 242-0420
(215) 764-6447
Mailing address
6 E WILLOW GROVE AVE, PHILADELPHIA, PA 19118-3426
(215) 242-0420
(215) 764-6447
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
01/02/2022
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