| Garnet Valley Sport & Spine Physical Medicine, Inc. | |
|
3039 Foulk Rd Garnet Valley PA 19060-1701 | |
| (610) 361-0070 | |
| (610) 361-0071 |
| Full Name | Garnet Valley Sport & Spine Physical Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3039 Foulk Rd, Garnet Valley, Pennsylvania |
| Authorized Official Name and Position | Timothy Martin (OWNER) |
| Authorized Official Contact | 6103610070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garnet Valley Sport & Spine Physical Medicine, Inc. 3039 Foulk Rd Garnet Valley PA 19060-1701 Ph: (610) 361-0070 | Garnet Valley Sport & Spine Physical Medicine, Inc. 3039 Foulk Rd Garnet Valley PA 19060-1701 Ph: (610) 361-0070 |
| NPI Number | 1023420460 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023420460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS-008262-L (Pennsylvania) | Primary |
Total Hospital Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Woodsview Dr, Garnet Valley, PA 19061 Phone: 610-372-6617 |