MEDICARE: HR PHYSICIAN SERVICES

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
1	207P00000X	Emergency Medicine Physician	MD033907E	PA
2	363LX0106X	Occupational Health Nurse Practitioner	UP004378C	PA
3	363LA2200X	Adult Health Nurse Practitioner	UP004378C	PA
4	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	MD033907E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699775296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HR PHYSICIAN SERVICES

Provider Business Mailing Address
First Line	:	1648 HUNTINGDON PIKE
Second Line	:	1ST FLOOR BUSINESS OFFICE
City	:	MEADOWBROOK
State	:	PA
Zip	:	19046-8001
Country	:	US
Telephone Number	:	215-938-2040
Fax Number	:	215-938-2042

Provider Business Practice Location Address
First Line	:	1650 HUNTINGDON PIKE
Second Line	:	SUITE 355
City	:	MEADOWBROOK
State	:	PA
Zip	:	19046-8004
Country	:	US
Telephone Number	:	215-938-2110
Fax Number	:	215-938-2112

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MRS. MICHELE UROFSKY
Credential	:
Telephone Number	:	215-938-2021

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	02/23/2009

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Directions to “HR PHYSICIAN SERVICES ” Practice Location

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