| Jefferson Comprehensive Weight Management Program | |
|
225 E City Ave Suite 109 Bala Cynwyd PA 19004-1704 | |
| (215) 503-3838 | |
| (610) 664-2945 |
| Full Name | Jefferson Comprehensive Weight Management Program |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 E City Ave, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Mitchell Harris (CAO, VP BUSINESS AFFAIRS) |
| Authorized Official Contact | 2159552562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Comprehensive Weight Management Program 833 Chestnut St Suite 630 Philadelphia PA 19107-4414 Ph: (215) 955-2562 | Jefferson Comprehensive Weight Management Program 225 E City Ave Suite 109 Bala Cynwyd PA 19004-1704 Ph: (215) 503-3838 |
| NPI Number | 1376932616 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376932616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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