Granite Medical PC
NPI #1043549678 in Media, Pennsylvania
Provider Information
- NPI Number
- 1043549678
- Entity Type
- Organization
- Organization Name
- Granite Medical PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 10, 2009
- Last Updated
- Dec 10, 2009
Practice Location
- Address
- 1098 W BALTIMORE PIKE
- Address 2
- RMH OPP STE 3304
- City
- Media
- State
- Pennsylvania
- ZIP Code
- 19063-5139
- Phone
- (610) 891-9640
Authorized Official
- Name
- DR. LAWRENCE P WEAN, M.D.
- Title
- MEDICAL DOCTOR
- Phone
- (610) 891-9640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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