Communities Of Don Guanella And Divine Providence

Specialty details in registry · Broomall, PA

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At a glance

2213 Glenspring Ln, Broomall, PA 19008-2222

NPPES record updated Mar 26, 2024. 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

2213 Glenspring Ln
Broomall, PA 19008-2222
Professional details: NPI, taxonomy & registry record
NPI1790802031
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320900000X
Enumeration date
Mar 23, 2007
Record updated
Mar 26, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320900000X · Primary

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

Practice location

2213 Glenspring Ln
Broomall, PA 19008-2222
Phone
(610) 543-5410
Fax
(510) 543-5397
Mailing address
686 OLD MARPLE RD

SPRINGFIELD, PA 190641239
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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