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Specialty details in registry · Blue Bell, PA

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At a glance

90 Norristown Rd, Blue Bell, PA 19422-2802

NPPES record updated Sep 26, 2024. Public records can lag behind changes at a practice.

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Practice location

90 Norristown Rd
Blue Bell, PA 19422-2802
Professional details: NPI, taxonomy & registry record
NPI1861210155
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
171M00000X
Enumeration date
Sep 26, 2024
Record updated
Sep 26, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

171M00000X · Primary

Specialty details in registry

174200000X

Specialty details in registry

177F00000X

Specialty details in registry

251B00000X

Specialty details in registry

251S00000X

Specialty details in registry

253Z00000X

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

Practice location

90 Norristown Rd
Blue Bell, PA 19422-2802
Phone
(215) 820-7504
Mailing address
90 NORRISTOWN RD

BLUE BELL, PA 194222802
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Information may be outdated or incomplete.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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