Eastern Pennsylvania Physician Services LLC

NPI #1245629146 in East Norriton, Pennsylvania

Provider Information

NPI Number: 1245629146
Entity Type: Organization
Organization Name: Eastern Pennsylvania Physician Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Pediatrics
Enumeration Date: Jan 15, 2015
Last Updated: Jan 15, 2015

Practice Location

Address: 160 W GERMANTOWN PIKE
Address 2: STE D
City: East Norriton
State: Pennsylvania
ZIP Code: 19401-1386
Phone: (888) 829-8550

Authorized Official

Name: CASEY DELOACH
Title: MANAGER
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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