Organization
HR PHYSICIAN SERVICES
Active
Other names
Redeemer Pulmonary Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL R. WAGNER (EXECUTIVE VICE PRESIDENT, FINANCE)
(215) 856-1114
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 305, MEADOWBROOK, PA 19046-8001
(215) 947-6404
(215) 947-9883
Mailing address
PO BOX 8500, BOX #4081, PHILADELPHIA, PA 19178-4081
(215) 856-1010
(215) 938-3829
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015313400030
—
PA
Enumeration date
08/10/2005
Last updated
12/01/2016
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