| Easton Road Medical Center | |
|
1675 Easton Rd Willow Grove PA 19090-4538 | |
| (215) 657-5337 | |
| (215) 657-3250 |
| Full Name | Easton Road Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1675 Easton Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | John J Kelly (CHIEF OF STAFF) |
| Authorized Official Contact | 2154812600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easton Road Medical Center 1675 Easton Rd Willow Grove PA 19090-4538 Ph: (215) 657-5337 | Easton Road Medical Center 1675 Easton Rd Willow Grove PA 19090-4538 Ph: (215) 657-5337 |
| NPI Number | 1841238995 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841238995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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