| Origin Family Wellness Llc | |
|
1811 Bethlehem Pike Ste A101 Flourtown PA 19031-1111 | |
| (215) 774-9004 | |
| Not Available |
| Full Name | Origin Family Wellness Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1811 Bethlehem Pike Ste A101, Flourtown, Pennsylvania |
| Authorized Official Name and Position | Tatiana Kisluk (DNP) |
| Authorized Official Contact | 2157749004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origin Family Wellness Llc 1811 Bethlehem Pike Ste A101 Flourtown PA 19031-1111 Ph: () - | Origin Family Wellness Llc 1811 Bethlehem Pike Ste A101 Flourtown PA 19031-1111 Ph: (215) 774-9004 |
| NPI Number | 1477283042 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477283042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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