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Specialty details in registry · Willow Grove, PA

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At a glance

3100 Terwood Rd Apt J96, Willow Grove, PA 19090-1419

NPPES record updated Dec 16, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

3100 Terwood Rd Apt J96
Willow Grove, PA 19090-1419
Professional details: NPI, taxonomy & registry record
NPI1639064389
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3747P1801X
Enumeration date
Jun 12, 2025
Record updated
Dec 16, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3747P1801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3100 Terwood Rd Apt J96
Willow Grove, PA 19090-1419
Phone
(215) 902-6640
Mailing address
3100 TERWOOD RD APT J96

WILLOW GROVE, PA 190901419
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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