| Elwyn Health Services Of Pennsylvania Pc | |
|
111 Elwyn Rd Elwyn PA 19063-4622 | |
| (610) 891-2000 | |
| Not Available |
| Full Name | Elwyn Health Services Of Pennsylvania Pc |
|---|---|
| Speciality | Physician Assistant |
| Location | 111 Elwyn Rd, Elwyn, Pennsylvania |
| Authorized Official Name and Position | Daniel Reardon (SR. VP AND COO) |
| Authorized Official Contact | 6108912021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elwyn Health Services Of Pennsylvania Pc 111 Elwyn Rd Elwyn PA 19063-4622 Ph: (610) 891-2000 | Elwyn Health Services Of Pennsylvania Pc 111 Elwyn Rd Elwyn PA 19063-4622 Ph: (610) 891-2000 |
| NPI Number | 1730622994 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730622994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332S00000X | Hearing Aid Equipment | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |