| Southampton Patient Coordination Llc | |
|
1018 Street Rd Southampton PA 18966-4221 | |
| (267) 538-8610 | |
| Not Available |
| Full Name | Southampton Patient Coordination Llc |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 1018 Street Rd, Southampton, Pennsylvania |
| Authorized Official Name and Position | Yefim Gorberg (OWNER) |
| Authorized Official Contact | 2675388610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southampton Patient Coordination Llc 122 Stephenson Way Huntingdon Valley PA 19006-2229 Ph: (267) 538-8610 | Southampton Patient Coordination Llc 1018 Street Rd Southampton PA 18966-4221 Ph: (267) 538-8610 |
| NPI Number | 1225483332 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225483332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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