| Olive Branch Medical Center | |
|
2 Bala Plz Ste 50 Bala Cynwyd PA 19004-1501 | |
| (215) 200-3913 | |
| Not Available |
| Full Name | Olive Branch Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 2 Bala Plz Ste 50, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Loretta F Brown (OWNER) |
| Authorized Official Contact | 2152003913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Medical Center 5427 Wayne Ave Apt G22 Philadelphia PA 19144-3455 Ph: (215) 200-3913 | Olive Branch Medical Center 2 Bala Plz Ste 50 Bala Cynwyd PA 19004-1501 Ph: (215) 200-3913 |
| NPI Number | 1932505385 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932505385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004959L (Pennsylvania) | Secondary |
| 261Q00000X | Clinic/center | OS004959L (Pennsylvania) | Primary |
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