Haverford Family Medicine

NPI #1851492474 in Haverford, Pennsylvania

Provider Information

NPI Number: 1851492474
Entity Type: Organization
Organization Name: Haverford Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Sep 26, 2006
Last Updated: Jun 29, 2010

Practice Location

Address: 600 HAVERFORD RD
Address 2: SUITE 205
City: Haverford
State: Pennsylvania
ZIP Code: 19041-1139
Phone: (610) 649-6400

Authorized Official

Name: DR. BRIAN W BULLOCK
Title: PRESIDENT
Phone: (610) 649-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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