Family Practice Professional Co.
NPI #1710177126 in Langhorne, Pennsylvania
Provider Information
- NPI Number
- 1710177126
- Entity Type
- Organization
- Organization Name
- Family Practice Professional Co.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 31, 2007
- Last Updated
- Jul 31, 2007
Practice Location
- Address
- 668 WOODBOURNE RD
- Address 2
- SUITE 103
- City
- Langhorne
- State
- Pennsylvania
- ZIP Code
- 19047-1820
- Phone
- (215) 750-1361
Authorized Official
- Name
- MISS VASHTI E NICOLAS
- Title
- VICE PRESIDENT/OFFICE MANAGER
- Phone
- (215) 750-1361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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