Healthcare Provider Details

I. General information

NPI: 1982606968
Provider Name (Legal Business Name): HR PHYSICIAN SVCS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 HUNTINGDON PIKE STE 118
MEADOWBROOK PA
19046
US

IV. Provider business mailing address

1648 HUNTINGDON PIKE 1ST FLOOR BUSINESS OFFICE
MEADOWBROOK PA
19046-8001
US

V. Phone/Fax

Practice location:
  • Phone: 215-914-2600
  • Fax: 215-938-9819
Mailing address:
  • Phone: 215-938-2040
  • Fax: 215-938-2042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: MRS. MICHELLE UROFSKY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 215-938-2021