Healthcare Provider Details

I. General information

NPI: 1598767568
Provider Name (Legal Business Name): HR PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 HUNTINGDON PIKE STE 107
MEADOWBROOK PA
19046-8004
US

IV. Provider business mailing address

12265 TOWNSEND RD STE 500
PHILADELPHIA PA
19154-1201
US

V. Phone/Fax

Practice location:
  • Phone: 215-938-2990
  • Fax: 215-938-3959
Mailing address:
  • Phone: 215-856-1009
  • Fax: 215-856-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MICHELE UROFSKY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 215-938-2021