Penncare - Royersford Medical Associates

NPI #1831231679 in Limerick, Pennsylvania

Provider Information

NPI Number
1831231679
Entity Type
Organization
Organization Name
Penncare - Royersford Medical Associates
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Aug 25, 2010

Practice Location

Address
420 W LINFIELD RD
ZIP Code
19468-4278
Phone
(610) 495-2650

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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