| Entelmed, Inc. | |
|
400 Indian Run Rd Glenmoore PA 19343-1338 | |
| (484) 985-2757 | |
| Not Available |
| Full Name | Entelmed, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 Indian Run Rd, Glenmoore, Pennsylvania |
| Authorized Official Name and Position | Bryan D Burklow (CEO) |
| Authorized Official Contact | 4849852757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entelmed, Inc. 9844 Research Dr Ste 200 Irvine CA 92618-4381 Ph: (484) 985-2757 | Entelmed, Inc. 400 Indian Run Rd Glenmoore PA 19343-1338 Ph: (484) 985-2757 |
| NPI Number | 1285225516 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285225516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |