Garnet Valley Sport & Spine Physical Medicine, Inc.

NPI #1023420460 in Garnet Valley, Pennsylvania

Provider Information

NPI Number: 1023420460
Entity Type: Organization
Organization Name: Garnet Valley Sport & Spine Physical Medicine, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2014
Last Updated: May 20, 2014

Practice Location

Address: 3039 FOULK RD
City: Garnet Valley
State: Pennsylvania
ZIP Code: 19060-1701
Phone: (610) 361-0070

Authorized Official

Name: DR. TIMOTHY MARTIN, D.C.
Title: OWNER
Phone: (610) 361-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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