| Maenpaa Sports Medicine Llc | |
|
829 Spruce St Suite308 Philadelphia PA 19107-5752 | |
| (215) 334-5346 | |
| Not Available |
| Full Name | Maenpaa Sports Medicine Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 829 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Garath Alan Maenpaa (OWNER) |
| Authorized Official Contact | 6102092912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maenpaa Sports Medicine Llc 486 King Ave Collingswood NJ 08108-1430 Ph: (610) 209-2912 | Maenpaa Sports Medicine Llc 829 Spruce St Suite308 Philadelphia PA 19107-5752 Ph: (215) 334-5346 |
| NPI Number | 1679873970 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679873970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | MD073775-L (Pennsylvania) | Primary |
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