Healthcare Provider Details

I. General information

NPI: 1225607385
Provider Name (Legal Business Name): FAMILY WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 02/16/2024
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E FORNANCE ST
NORRISTOWN PA
19401-3311
US

IV. Provider business mailing address

31 E FORNANCE ST
NORRISTOWN PA
19401-3311
US

V. Phone/Fax

Practice location:
  • Phone: 610-292-9549
  • Fax: 610-292-9548
Mailing address:
  • Phone: 610-292-9549
  • Fax: 610-292-9548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES BERNARD WATSON
Title or Position: OWNER
Credential: DO
Phone: 267-408-5288