Elwyn Health Services of Pennsylvania PC

NPI #1730622994 in Elwyn, Pennsylvania

Provider Information

NPI Number: 1730622994
Entity Type: Organization
Organization Name: Elwyn Health Services of Pennsylvania PC
Subpart: Yes (part of a larger organization)
Parent Organization: ELWYN
Primary Specialty: Physician Assistant
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: 111 ELWYN RD
City: Elwyn
State: Pennsylvania
ZIP Code: 19063-4622
Phone: (610) 891-2000

Authorized Official

Name: MR. DANIEL REARDON, MBA
Title: SR. VP AND COO
Phone: (610) 891-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Hearing Aid Equipment	332S00000X
Physician Assistant	363A00000X	Primary

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