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NPI Code Detail

MEDICARE: GENESIS PENNYPACK CENTER

MEDICARE: GENESIS PENNYPACK CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/CenterOS001737LPA

General Provider Information

NPI Number : 1649616798
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS PENNYPACK CENTER
Provider Business Mailing Address
First Line : 8015 LAWNDALE STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-1507
Country : US
Telephone Number : 215-725-2525
Fax Number : 215-745-3970
Provider Business Practice Location Address
First Line : 8015 LAWNDALE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-1507
Country : US
Telephone Number : 215-725-2525
Fax Number : 215-745-3970
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. EDWIN MEROW
Credential : DO
Telephone Number : 215-725-2525
Provider Enumeration Date : 05/16/2013
Last Update Date : 05/16/2013

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Directions to “GENESIS PENNYPACK CENTER ” Practice Location

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