Davita Medical Group Philadelphia, LLC
NPI #1194297127 in Conshohocken, Pennsylvania
Provider Information
- NPI Number
- 1194297127
- Entity Type
- Organization
- Organization Name
- Davita Medical Group Philadelphia, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 2, 2019
- Last Updated
- Jan 2, 2019
Practice Location
- Address
- 300 W 4TH AVE STE 260
- City
- Conshohocken
- State
- Pennsylvania
- ZIP Code
- 19428-1607
- Phone
- (215) 568-4678
Authorized Official
- Name
- MICHAEL TERRENCE WERNER
- Title
- SR. DIRECTOR OF OPERATIONS
- Phone
- (215) 568-4678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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