A United Partnership

Specialty details in registry · Philadelphia, PA

Call (267) 615-9087 Directions

At a glance

520 Glen Echo Road, Philadelphia, PA 19119

NPPES record updated May 28, 2019. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

520 Glen Echo Road
Philadelphia, PA 19119
Professional details: NPI, taxonomy & registry record
NPI1790342640
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
May 28, 2019
Record updated
May 28, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

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

Practice location

520 Glen Echo Road
Philadelphia, PA 19119
Phone
(267) 615-9087
Mailing address
45 E CITY AVE STE 1605

BALA CYNWYD, PA 190042421
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Information may be outdated or incomplete.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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